How much rates vary
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 $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $263.03 | Professional | None (both parts) | $186.21 | $186.21 | $263.03 |
BCBS South Carolina Setting Facility Modifier None Typical Low $380.19 Median $426.58 Typical High $426.58 | Facility | None | $380.19 | $426.58 | $426.58 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $257.04 Median $263.03 Typical High $426.58 | Professional | None (both parts) | $257.04 | $263.03 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $269.15 | Professional | None (both parts) | $194.98 | $194.98 | $269.15 |
Medcost Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Medcost Setting Facility Modifier None Typical Low $120.23 Median $204.17 Typical High $512.86 | Facility | None | $120.23 | $204.17 | $512.86 |
Medcost Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $549.54 | Professional | None (both parts) | $302.00 | $302.00 | $549.54 |
United Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $208.93 Typical High $275.42 | Professional | None (both parts) | $154.88 | $208.93 | $275.42 |
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 $123.03 Median $125.89 Typical High $295.12 | Professional | 26 · Professional part | $123.03 | $125.89 | $295.12 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $457.09 Median $457.09 Typical High $1,096.48 | Professional | 50 · Both sides | $457.09 | $457.09 | $1,096.48 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $151.36 Median $151.36 Typical High $371.54 | Professional | 51 · Multiple procedures | $151.36 | $151.36 | $371.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $60.26 Median $60.26 Typical High $147.91 | Professional | 80 · Assistant surgeon | $60.26 | $60.26 | $147.91 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $42.66 Median $42.66 Typical High $102.33 | Professional | 81 · Minimal assistant surgeon | $42.66 | $42.66 | $102.33 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $42.66 Median $42.66 Typical High $102.33 | Professional | 82 · Assistant surgeon, no resident | $42.66 | $42.66 | $102.33 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $42.66 Median $42.66 Typical High $102.33 | Professional | AS · PA/NP assist | $42.66 | $42.66 | $102.33 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $186.21 Typical High $446.68 | Professional | TC · Technical part | $181.97 | $186.21 | $446.68 |
Where South Carolina sits
The same service costs 2.6 times more in Kansas 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· 25th of 51
$263
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.