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 $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $524.81 | Professional | None (both parts) | $371.54 | $371.54 | $524.81 |
BCBS South Carolina Setting Facility Modifier None Typical Low $776.25 Median $851.14 Typical High $851.14 | Facility | None | $776.25 | $851.14 | $851.14 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $549.54 Median $776.25 Typical High $851.14 | Professional | None (both parts) | $549.54 | $776.25 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $549.54 | Facility | None | $512.86 | $512.86 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $512.86 | Professional | None (both parts) | $436.52 | $436.52 | $512.86 |
Medcost Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Medcost Setting Facility Modifier None Typical Low $263.03 Median $446.68 Typical High $1,023.29 | Facility | None | $263.03 | $446.68 | $1,023.29 |
Medcost Setting Professional Modifier None (both parts) Typical Low $588.84 Median $588.84 Typical High $1,122.02 | Professional | None (both parts) | $588.84 | $588.84 | $1,122.02 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $416.87 Typical High $616.60 | Professional | None (both parts) | $323.59 | $416.87 | $616.60 |
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 $234.42 Median $251.19 Typical High $588.84 | Professional | 26 · Professional part | $234.42 | $251.19 | $588.84 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $870.96 Median $933.25 Typical High $2,238.72 | Professional | 50 · Both sides | $870.96 | $933.25 | $2,238.72 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $295.12 Median $309.03 Typical High $741.31 | Professional | 51 · Multiple procedures | $295.12 | $309.03 | $741.31 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $117.49 Median $123.03 Typical High $295.12 | Professional | 80 · Assistant surgeon | $117.49 | $123.03 | $295.12 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $81.28 Median $87.10 Typical High $208.93 | Professional | 81 · Minimal assistant surgeon | $81.28 | $87.10 | $208.93 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $81.28 Median $87.10 Typical High $208.93 | Professional | 82 · Assistant surgeon, no resident | $81.28 | $87.10 | $208.93 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $81.28 Median $87.10 Typical High $208.93 | Professional | AS · PA/NP assist | $81.28 | $87.10 | $208.93 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $380.19 Typical High $891.25 | Professional | TC · Technical part | $354.81 | $380.19 | $891.25 |
Where South Carolina sits
The same service costs 3.0 times more in Wisconsin 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· 28th of 51
$550
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.