How much rates vary
Facilitymedian $288 · 10th to 90th $200 to $537Professionalmedian $275 · 10th to 90th $200 to $457
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 $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $281.84 | Professional | None (both parts) | $199.53 | $199.53 | $281.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None (both parts) | $363.08 | $363.08 | $363.08 |
BCBS South Carolina Setting Facility Modifier None Typical Low $407.38 Median $457.09 Typical High $457.09 | Facility | None | $407.38 | $457.09 | $457.09 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $275.42 Median $398.11 Typical High $457.09 | Professional | None (both parts) | $275.42 | $398.11 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $316.23 | Facility | None | $288.40 | $288.40 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $288.40 | Professional | None (both parts) | $208.93 | $208.93 | $288.40 |
Medcost Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None | $223.87 | $223.87 | $223.87 |
Medcost Setting Facility Modifier None Typical Low $128.82 Median $218.78 Typical High $549.54 | Facility | None | $128.82 | $218.78 | $549.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $588.84 | Professional | None (both parts) | $323.59 | $323.59 | $588.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $302.00 | $302.00 | $302.00 |
United Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $223.87 Typical High $295.12 | Professional | None (both parts) | $165.96 | $223.87 | $295.12 |
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 $131.83 Median $134.90 Typical High $316.23 | Professional | 26 · Professional part | $131.83 | $134.90 | $316.23 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $489.78 Median $489.78 Typical High $1,174.90 | Professional | 50 · Both sides | $489.78 | $489.78 | $1,174.90 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $162.18 Median $162.18 Typical High $398.11 | Professional | 51 · Multiple procedures | $162.18 | $162.18 | $398.11 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $66.07 Median $66.07 Typical High $158.49 | Professional | 80 · Assistant surgeon | $66.07 | $66.07 | $158.49 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $45.71 Median $45.71 Typical High $109.65 | Professional | 81 · Minimal assistant surgeon | $45.71 | $45.71 | $109.65 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $45.71 Median $45.71 Typical High $109.65 | Professional | 82 · Assistant surgeon, no resident | $45.71 | $45.71 | $109.65 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $45.71 Median $45.71 Typical High $109.65 | Professional | AS · PA/NP assist | $45.71 | $45.71 | $109.65 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $199.53 Typical High $478.63 | Professional | TC · Technical part | $194.98 | $199.53 | $478.63 |
Where South Carolina sits
The same service costs 2.4 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· 28th of 51
$275
KS $501DE $209
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.