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 $9.12 Median $9.12 Typical High $9.12 | Facility | None | $9.12 | $9.12 | $9.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $9.12 Median $9.12 Typical High $12.88 | Professional | None (both parts) | $9.12 | $9.12 | $12.88 |
BCBS South Carolina Setting Facility Modifier None Typical Low $18.62 Median $20.42 Typical High $20.42 | Facility | None | $18.62 | $20.42 | $20.42 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None (both parts) | $20.42 | $20.42 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | None | $11.22 | $11.22 | $11.22 |
Cigna Setting Professional Modifier None (both parts) Typical Low $9.55 Median $9.55 Typical High $11.22 | Professional | None (both parts) | $9.55 | $9.55 | $11.22 |
Medcost Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $13.49 | Professional | None | $10.23 | $10.23 | $13.49 |
Medcost Setting Facility Modifier None Typical Low $5.75 Median $10.00 Typical High $25.12 | Facility | None | $5.75 | $10.00 | $25.12 |
Medcost Setting Professional Modifier None (both parts) Typical Low $14.79 Median $14.79 Typical High $26.92 | Professional | None (both parts) | $14.79 | $14.79 | $26.92 |
United Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
United Setting Professional Modifier None (both parts) Typical Low $7.41 Median $10.00 Typical High $13.49 | Professional | None (both parts) | $7.41 | $10.00 | $13.49 |
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 $5.89 Median $6.03 Typical High $14.45 | Professional | 26 · Professional part | $5.89 | $6.03 | $14.45 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $22.39 Median $22.39 Typical High $53.70 | Professional | 50 · Both sides | $22.39 | $22.39 | $53.70 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $7.41 Median $7.41 Typical High $17.78 | Professional | 51 · Multiple procedures | $7.41 | $7.41 | $17.78 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $2.95 Median $2.95 Typical High $7.08 | Professional | 80 · Assistant surgeon | $2.95 | $2.95 | $7.08 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.09 Median $2.09 Typical High $5.01 | Professional | 81 · Minimal assistant surgeon | $2.09 | $2.09 | $5.01 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.09 Median $2.09 Typical High $5.01 | Professional | 82 · Assistant surgeon, no resident | $2.09 | $2.09 | $5.01 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.09 Median $2.09 Typical High $5.01 | Professional | AS · PA/NP assist | $2.09 | $2.09 | $5.01 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $8.91 Median $9.12 Typical High $21.38 | Professional | TC · Technical part | $8.91 | $9.12 | $21.38 |
Where South Carolina sits
The same service costs 2.3 times more in Montana than in Hawaii. 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· 17th of 51
$14.13
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.