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 $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $933.25 Median $933.25 Typical High $1,318.26 | Professional | None (both parts) | $933.25 | $933.25 | $1,318.26 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,905.46 Median $2,137.96 Typical High $2,137.96 | Facility | None | $1,905.46 | $2,137.96 | $2,137.96 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None (both parts) | $2,137.96 | $2,137.96 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,258.93 | Facility | None | $1,174.90 | $1,174.90 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $977.24 Median $977.24 Typical High $1,258.93 | Professional | None (both parts) | $977.24 | $977.24 | $1,258.93 |
Medcost Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
Medcost Setting Facility Modifier None Typical Low $602.56 Median $1,023.29 Typical High $2,570.40 | Facility | None | $602.56 | $1,023.29 | $2,570.40 |
Medcost Setting Professional Modifier None (both parts) Typical Low $35.48 Median $602.56 Typical High $2,818.38 | Professional | None (both parts) | $35.48 | $602.56 | $2,818.38 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
United Setting Professional Modifier None (both parts) Typical Low $724.44 Median $1,047.13 Typical High $1,412.54 | Professional | None (both parts) | $724.44 | $1,047.13 | $1,412.54 |
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 $630.96 Typical High $1,479.11 | Professional | 26 · Professional part | $14.13 | $630.96 | $1,479.11 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $53.70 Median $56.23 Typical High $5,623.41 | Professional | 50 · Both sides | $53.70 | $56.23 | $5,623.41 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $17.78 Median $19.05 Typical High $1,862.09 | Professional | 51 · Multiple procedures | $17.78 | $19.05 | $1,862.09 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.08 Median $7.59 Typical High $741.31 | Professional | 80 · Assistant surgeon | $7.08 | $7.59 | $741.31 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.01 Median $5.37 Typical High $524.81 | Professional | 81 · Minimal assistant surgeon | $5.01 | $5.37 | $524.81 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.01 Median $5.37 Typical High $524.81 | Professional | 82 · Assistant surgeon, no resident | $5.01 | $5.37 | $524.81 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.01 Median $5.37 Typical High $524.81 | Professional | AS · PA/NP assist | $5.01 | $5.37 | $524.81 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $933.25 Typical High $2,238.72 | Professional | TC · Technical part | $21.38 | $933.25 | $2,238.72 |
Where South Carolina sits
The same service costs 2.3 times more in Montana than in Delaware. 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· 31st of 51
$1,318
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.