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 $3,235.94 Median $3,235.94 Typical High $3,235.94 | Facility | None | $3,235.94 | $3,235.94 | $3,235.94 |
Aetna Setting Professional Modifier None (both parts) Typical Low $3,235.94 Median $3,235.94 Typical High $4,570.88 | Professional | None (both parts) | $3,235.94 | $3,235.94 | $4,570.88 |
BCBS South Carolina Setting Facility Modifier None Typical Low $6,606.93 Median $7,413.10 Typical High $7,413.10 | Facility | None | $6,606.93 | $7,413.10 | $7,413.10 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $4,786.30 Median $6,606.93 Typical High $7,413.10 | Professional | None (both parts) | $4,786.30 | $6,606.93 | $7,413.10 |
Cigna Setting Facility Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,365.16 | Facility | None | $4,073.80 | $4,073.80 | $4,365.16 |
Cigna Setting Professional Modifier None (both parts) Typical Low $3,467.37 Median $3,467.37 Typical High $4,365.16 | Professional | None (both parts) | $3,467.37 | $3,467.37 | $4,365.16 |
Medcost Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | None | $3,630.78 | $3,630.78 | $3,630.78 |
Medcost Setting Facility Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $8,912.51 | Facility | None | $2,089.30 | $3,548.13 | $8,912.51 |
Medcost Setting Professional Modifier None (both parts) Typical Low $5,128.61 Median $5,128.61 Typical High $9,549.93 | Professional | None (both parts) | $5,128.61 | $5,128.61 | $9,549.93 |
United Setting Professional Modifier None (both parts) Typical Low $2,691.53 Median $3,630.78 Typical High $4,897.79 | Professional | None (both parts) | $2,691.53 | $3,630.78 | $4,897.79 |
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 $2,041.74 Median $2,187.76 Typical High $5,128.61 | Professional | 26 · Professional part | $2,041.74 | $2,187.76 | $5,128.61 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $7,585.78 Median $8,128.31 Typical High $19,054.61 | Professional | 50 · Both sides | $7,585.78 | $8,128.31 | $19,054.61 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $2,511.89 Median $2,691.53 Typical High $6,456.54 | Professional | 51 · Multiple procedures | $2,511.89 | $2,691.53 | $6,456.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $1,023.29 Median $1,071.52 Typical High $2,570.40 | Professional | 80 · Assistant surgeon | $1,023.29 | $1,071.52 | $2,570.40 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $707.95 Median $758.58 Typical High $1,778.28 | Professional | 81 · Minimal assistant surgeon | $707.95 | $758.58 | $1,778.28 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $707.95 Median $758.58 Typical High $1,778.28 | Professional | 82 · Assistant surgeon, no resident | $707.95 | $758.58 | $1,778.28 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $707.95 Median $758.58 Typical High $1,778.28 | Professional | AS · PA/NP assist | $707.95 | $758.58 | $1,778.28 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $3,019.95 Median $3,235.94 Typical High $7,762.47 | Professional | TC · Technical part | $3,019.95 | $3,235.94 | $7,762.47 |
Where South Carolina sits
The same service costs 2.7 times more in Montana than in New York. 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· 20th of 51
$4,786
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.