How much rates vary
Facilitymedian $2,754 · 10th to 90th $1,905 to $5,248Professionalmedian $2,399 · 10th to 90th $1,905 to $4,266
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,905.46 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $1,905.46 Typical High $2,691.53 | Professional | None (both parts) | $1,905.46 | $1,905.46 | $2,691.53 |
BCBS South Carolina Setting Facility Modifier None Typical Low $3,890.45 Median $4,265.80 Typical High $4,265.80 | Facility | None | $3,890.45 | $4,265.80 | $4,265.80 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $2,344.23 Median $3,890.45 Typical High $4,265.80 | Professional | None (both parts) | $2,344.23 | $3,890.45 | $4,265.80 |
Cigna Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,951.21 | Facility | None | $2,754.23 | $2,754.23 | $2,951.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,995.26 Median $1,995.26 Typical High $2,754.23 | Professional | None (both parts) | $1,995.26 | $1,995.26 | $2,754.23 |
Medcost Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $3,162.28 | Professional | None | $2,818.38 | $2,818.38 | $3,162.28 |
Medcost Setting Facility Modifier None Typical Low $1,348.96 Median $2,089.30 Typical High $5,248.07 | Facility | None | $1,348.96 | $2,089.30 | $5,248.07 |
Medcost Setting Professional Modifier None (both parts) Typical Low $3,090.30 Median $3,090.30 Typical High $5,623.41 | Professional | None (both parts) | $3,090.30 | $3,090.30 | $5,623.41 |
United Setting Facility Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $5,754.40 | Facility | None | $5,754.40 | $5,754.40 | $5,754.40 |
United Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $2,089.30 Typical High $3,162.28 | Professional | None (both parts) | $1,659.59 | $2,089.30 | $3,162.28 |
8 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 26 · Professional part Typical Low $1,230.27 Median $1,258.93 Typical High $2,951.21 | Professional | 26 · Professional part | $1,230.27 | $1,258.93 | $2,951.21 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $4,677.35 Median $4,677.35 Typical High $11,220.18 | Professional | 50 · Both sides | $4,677.35 | $4,677.35 | $11,220.18 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,548.82 Median $1,548.82 Typical High $3,715.35 | Professional | 51 · Multiple procedures | $1,548.82 | $1,548.82 | $3,715.35 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $616.60 Median $616.60 Typical High $1,479.11 | Professional | 80 · Assistant surgeon | $616.60 | $616.60 | $1,479.11 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $436.52 Median $436.52 Typical High $1,047.13 | Professional | 81 · Minimal assistant surgeon | $436.52 | $436.52 | $1,047.13 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $436.52 Median $436.52 Typical High $1,047.13 | Professional | 82 · Assistant surgeon, no resident | $436.52 | $436.52 | $1,047.13 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $436.52 Median $436.52 Typical High $1,047.13 | Professional | AS · PA/NP assist | $436.52 | $436.52 | $1,047.13 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $1,862.09 Median $1,905.46 Typical High $4,466.84 | Professional | TC · Technical part | $1,862.09 | $1,905.46 | $4,466.84 |
Where South Carolina sits
The same service costs 2.5 times more in Arkansas than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
South Carolina· 44th of 51
$2,455
AR $4,898DE $1,995
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.