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 $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $22.91 Typical High $32.36 | Professional | None (both parts) | $22.91 | $22.91 | $32.36 |
BCBS South Carolina Setting Facility Modifier None Typical Low $46.77 Median $51.29 Typical High $51.29 | Facility | None | $46.77 | $51.29 | $51.29 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $34.67 Median $46.77 Typical High $51.29 | Professional | None (both parts) | $34.67 | $46.77 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $33.88 Typical High $39.81 | Professional | None (both parts) | $33.88 | $33.88 | $39.81 |
Medcost Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $29.51 | Professional | None | $25.70 | $25.70 | $29.51 |
Medcost Setting Facility Modifier None Typical Low $14.45 Median $25.12 Typical High $63.10 | Facility | None | $14.45 | $25.12 | $63.10 |
Medcost Setting Professional Modifier None (both parts) Typical Low $28.18 Median $37.15 Typical High $67.61 | Professional | None (both parts) | $28.18 | $37.15 | $67.61 |
United Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
United Setting Professional Modifier None (both parts) Typical Low $18.62 Median $25.12 Typical High $33.88 | Professional | None (both parts) | $18.62 | $25.12 | $33.88 |
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 $14.79 Median $15.14 Typical High $36.31 | Professional | 26 · Professional part | $14.79 | $15.14 | $36.31 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $41.69 Median $54.95 Typical High $134.90 | Professional | 50 · Both sides | $41.69 | $54.95 | $134.90 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $14.13 Median $18.62 Typical High $44.67 | Professional | 51 · Multiple procedures | $14.13 | $18.62 | $44.67 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.62 Median $7.41 Typical High $18.20 | Professional | 80 · Assistant surgeon | $5.62 | $7.41 | $18.20 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.89 Median $5.13 Typical High $12.59 | Professional | 81 · Minimal assistant surgeon | $3.89 | $5.13 | $12.59 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.89 Median $5.13 Typical High $12.59 | Professional | 82 · Assistant surgeon, no resident | $3.89 | $5.13 | $12.59 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.89 Median $5.13 Typical High $12.59 | Professional | AS · PA/NP assist | $3.89 | $5.13 | $12.59 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.91 Typical High $53.70 | Professional | TC · Technical part | $22.39 | $22.91 | $53.70 |
Where South Carolina sits
The same service costs 2.2 times more in Minnesota than in Kentucky. 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
$34.67
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.