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 $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $21.38 Typical High $30.90 | Professional | None (both parts) | $21.38 | $21.38 | $30.90 |
BCBS South Carolina Setting Facility Modifier None Typical Low $43.65 Median $48.98 Typical High $48.98 | Facility | None | $43.65 | $48.98 | $48.98 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None (both parts) | $48.98 | $48.98 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.39 Median $22.39 Typical High $30.90 | Professional | None (both parts) | $22.39 | $22.39 | $30.90 |
Medcost Setting Facility Modifier None Typical Low $21.38 Median $30.90 Typical High $58.88 | Facility | None | $21.38 | $30.90 | $58.88 |
Medcost Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $63.10 | Professional | None (both parts) | $35.48 | $35.48 | $63.10 |
United Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
United Setting Professional Modifier None (both parts) Typical Low $17.78 Median $23.99 Typical High $32.36 | Professional | None (both parts) | $17.78 | $23.99 | $32.36 |
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 $14.13 Median $14.13 Typical High $33.88 | Professional | 26 · Professional part | $14.13 | $14.13 | $33.88 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $53.70 Median $53.70 Typical High $125.89 | Professional | 50 · Both sides | $53.70 | $53.70 | $125.89 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $17.78 Median $17.78 Typical High $41.69 | Professional | 51 · Multiple procedures | $17.78 | $17.78 | $41.69 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.08 Median $7.08 Typical High $16.98 | Professional | 80 · Assistant surgeon | $7.08 | $7.08 | $16.98 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.01 Median $5.01 Typical High $11.75 | Professional | 81 · Minimal assistant surgeon | $5.01 | $5.01 | $11.75 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.01 Median $5.01 Typical High $11.75 | Professional | 82 · Assistant surgeon, no resident | $5.01 | $5.01 | $11.75 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.01 Median $5.01 Typical High $11.75 | Professional | AS · PA/NP assist | $5.01 | $5.01 | $11.75 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $50.12 | Professional | TC · Technical part | $21.38 | $21.38 | $50.12 |
Where South Carolina sits
The same service costs 2.2 times more in Montana than in Vermont. 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· 21st of 51
$35.48
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.