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 $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $83.18 | Professional | None (both parts) | $58.88 | $58.88 | $83.18 |
BCBS South Carolina Setting Facility Modifier None Typical Low $123.03 Median $134.90 Typical High $134.90 | Facility | None | $123.03 | $134.90 | $134.90 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $112.20 Median $131.83 Typical High $134.90 | Professional | None (both parts) | $112.20 | $131.83 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $104.71 | Professional | None (both parts) | $89.13 | $89.13 | $104.71 |
Medcost Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $77.62 | Professional | None | $66.07 | $66.07 | $77.62 |
Medcost Setting Facility Modifier None Typical Low $38.02 Median $64.57 Typical High $162.18 | Facility | None | $38.02 | $64.57 | $162.18 |
Medcost Setting Professional Modifier None (both parts) Typical Low $74.13 Median $95.50 Typical High $177.83 | Professional | None (both parts) | $74.13 | $95.50 | $177.83 |
United Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $66.07 Typical High $89.13 | Professional | None (both parts) | $48.98 | $66.07 | $89.13 |
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 $38.02 Median $39.81 Typical High $93.33 | Professional | 26 · Professional part | $38.02 | $39.81 | $93.33 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $112.20 Median $141.25 Typical High $354.81 | Professional | 50 · Both sides | $112.20 | $141.25 | $354.81 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $37.15 Median $47.86 Typical High $117.49 | Professional | 51 · Multiple procedures | $37.15 | $47.86 | $117.49 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $14.79 Median $19.05 Typical High $46.77 | Professional | 80 · Assistant surgeon | $14.79 | $19.05 | $46.77 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.47 Median $13.18 Typical High $33.11 | Professional | 81 · Minimal assistant surgeon | $10.47 | $13.18 | $33.11 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.47 Median $13.18 Typical High $33.11 | Professional | 82 · Assistant surgeon, no resident | $10.47 | $13.18 | $33.11 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $10.47 Median $13.18 Typical High $33.11 | Professional | AS · PA/NP assist | $10.47 | $13.18 | $33.11 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $60.26 Typical High $141.25 | Professional | TC · Technical part | $57.54 | $60.26 | $141.25 |
Where South Carolina sits
The same service costs 2.0 times more in Montana 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· 13th of 51
$112
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.