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 $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $245.47 | Professional | None (both parts) | $177.83 | $177.83 | $245.47 |
BCBS South Carolina Setting Facility Modifier None Typical Low $363.08 Median $407.38 Typical High $407.38 | Facility | None | $363.08 | $407.38 | $407.38 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $251.19 Median $363.08 Typical High $407.38 | Professional | None (both parts) | $251.19 | $363.08 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $275.42 | Professional | None (both parts) | $204.17 | $204.17 | $275.42 |
Medcost Setting Facility Modifier None Typical Low $177.83 Median $275.42 Typical High $489.78 | Facility | None | $177.83 | $275.42 | $489.78 |
Medcost Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $524.81 | Professional | None (both parts) | $295.12 | $295.12 | $524.81 |
United Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $199.53 Typical High $281.84 | Professional | None (both parts) | $154.88 | $199.53 | $281.84 |
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 $120.23 Median $120.23 Typical High $281.84 | Professional | 26 · Professional part | $120.23 | $120.23 | $281.84 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $446.68 Median $446.68 Typical High $1,047.13 | Professional | 50 · Both sides | $446.68 | $446.68 | $1,047.13 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $147.91 Median $147.91 Typical High $346.74 | Professional | 51 · Multiple procedures | $147.91 | $147.91 | $346.74 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $58.88 Median $58.88 Typical High $141.25 | Professional | 80 · Assistant surgeon | $58.88 | $58.88 | $141.25 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $41.69 Median $41.69 Typical High $97.72 | Professional | 81 · Minimal assistant surgeon | $41.69 | $41.69 | $97.72 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $41.69 Median $41.69 Typical High $97.72 | Professional | 82 · Assistant surgeon, no resident | $41.69 | $41.69 | $97.72 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $41.69 Median $41.69 Typical High $97.72 | Professional | AS · PA/NP assist | $41.69 | $41.69 | $97.72 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $416.87 | Professional | TC · Technical part | $177.83 | $177.83 | $416.87 |
Where South Carolina sits
The same service costs 2.5 times more in Hawaii 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· 39th of 51
$251
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.