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 $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $426.58 | Professional | None (both parts) | $302.00 | $302.00 | $426.58 |
BCBS South Carolina Setting Facility Modifier None Typical Low $616.60 Median $691.83 Typical High $691.83 | Facility | None | $616.60 | $691.83 | $691.83 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $416.87 Median $436.52 Typical High $691.83 | Professional | None (both parts) | $416.87 | $436.52 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $478.63 | Facility | None | $436.52 | $436.52 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $436.52 | Professional | None (both parts) | $316.23 | $316.23 | $436.52 |
Medcost Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Medcost Setting Facility Modifier None Typical Low $194.98 Median $331.13 Typical High $831.76 | Facility | None | $194.98 | $331.13 | $831.76 |
Medcost Setting Professional Modifier None (both parts) Typical Low $489.78 Median $489.78 Typical High $891.25 | Professional | None (both parts) | $489.78 | $489.78 | $891.25 |
United Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $338.84 Typical High $446.68 | Professional | None (both parts) | $251.19 | $338.84 | $446.68 |
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 $199.53 Median $204.17 Typical High $478.63 | Professional | 26 · Professional part | $199.53 | $204.17 | $478.63 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $741.31 Median $741.31 Typical High $1,778.28 | Professional | 50 · Both sides | $741.31 | $741.31 | $1,778.28 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $245.47 Median $245.47 Typical High $602.56 | Professional | 51 · Multiple procedures | $245.47 | $245.47 | $602.56 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $97.72 Median $97.72 Typical High $239.88 | Professional | 80 · Assistant surgeon | $97.72 | $97.72 | $239.88 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $69.18 Median $69.18 Typical High $165.96 | Professional | 81 · Minimal assistant surgeon | $69.18 | $69.18 | $165.96 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $69.18 Median $69.18 Typical High $165.96 | Professional | 82 · Assistant surgeon, no resident | $69.18 | $69.18 | $165.96 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $69.18 Median $69.18 Typical High $165.96 | Professional | AS · PA/NP assist | $69.18 | $69.18 | $165.96 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $302.00 Typical High $724.44 | Professional | TC · Technical part | $295.12 | $302.00 | $724.44 |
Where South Carolina sits
The same service costs 2.2 times more in Montana 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· 26th of 51
$437
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.