How much rates vary
Facilitymedian $1,660 · 10th to 90th $933 to $2,512Professionalmedian $2,089 · 10th to 90th $933 to $2,455
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 $2,089.30 Median $2,137.96 Typical High $2,290.87 | Professional | None (both parts) | $2,089.30 | $2,137.96 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,412.54 Typical High $1,659.59 | Professional | None (both parts) | $1,412.54 | $1,412.54 | $1,659.59 |
Medcost Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $2,137.96 | Professional | None | $1,621.81 | $1,621.81 | $2,137.96 |
Medcost Setting Facility Modifier None Typical Low $933.25 Median $1,023.29 Typical High $3,019.95 | Facility | None | $933.25 | $1,023.29 | $3,019.95 |
Medcost Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $2,454.71 Typical High $2,754.23 | Professional | None (both parts) | $2,398.83 | $2,454.71 | $2,754.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None (both parts) | $1,318.26 | $1,318.26 | $1,318.26 |
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 $776.25 Median $1,445.44 Typical High $2,137.96 | Professional | None (both parts) | $776.25 | $1,445.44 | $2,137.96 |
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 $977.24 Median $977.24 Typical High $1,479.11 | Professional | 26 · Professional part | $977.24 | $977.24 | $1,479.11 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $3,630.78 Median $3,630.78 Typical High $5,495.41 | Professional | 50 · Both sides | $3,630.78 | $3,630.78 | $5,495.41 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,202.26 Median $1,202.26 Typical High $1,862.09 | Professional | 51 · Multiple procedures | $1,202.26 | $1,202.26 | $1,862.09 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $489.78 Median $489.78 Typical High $741.31 | Professional | 80 · Assistant surgeon | $489.78 | $489.78 | $741.31 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $338.84 Median $338.84 Typical High $512.86 | Professional | 81 · Minimal assistant surgeon | $338.84 | $338.84 | $512.86 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $338.84 Median $338.84 Typical High $512.86 | Professional | 82 · Assistant surgeon, no resident | $338.84 | $338.84 | $512.86 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $338.84 Median $338.84 Typical High $512.86 | Professional | AS · PA/NP assist | $338.84 | $338.84 | $512.86 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $1,445.44 Median $1,445.44 Typical High $2,238.72 | Professional | TC · Technical part | $1,445.44 | $1,445.44 | $2,238.72 |
Where South Carolina sits
The same service costs 1.9 times more in Hawaii than in New Jersey. 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· 12th of 51
$2,089
HI $2,512NJ $1,349
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.