How much rates vary
Facilitymedian $54 · 10th to 90th $38 to $126Professionalmedian $56 · 10th to 90th $48 to $87
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $56.23 Typical High $56.23 | Professional | None (both parts) | $54.95 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $36.31 | $37.15 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | TC · Technical part | $19.05 | $19.05 | $19.05 |
BCBS South Carolina Setting Facility Modifier None Typical Low $39.81 Median $53.70 Typical High $125.89 | Facility | None | $39.81 | $53.70 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Medcost Setting Facility Modifier None Typical Low $56.23 Median $67.61 Typical High $75.86 | Facility | None | $56.23 | $67.61 | $75.86 |
Medcost Setting Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $67.61 | Professional | None (both parts) | $56.23 | $56.23 | $67.61 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $66.07 | Professional | 26 · Professional part | $37.15 | $37.15 | $66.07 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $18.62 Typical High $33.88 | Professional | TC · Technical part | $18.62 | $18.62 | $33.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
United Setting Facility Modifier None Typical Low $158.49 Median $190.55 Typical High $245.47 | Facility | None | $158.49 | $190.55 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $63.10 Typical High $102.33 | Professional | None (both parts) | $47.86 | $63.10 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $41.69 Typical High $69.18 | Professional | 26 · Professional part | $31.62 | $41.69 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $20.42 Typical High $32.36 | Professional | TC · Technical part | $14.79 | $20.42 | $32.36 |
5 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 51 · Multiple procedures Typical Low $28.18 Median $28.18 Typical High $42.66 | Professional | 51 · Multiple procedures | $28.18 | $28.18 | $42.66 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $11.22 Median $11.22 Typical High $16.98 | Professional | 80 · Assistant surgeon | $11.22 | $11.22 | $16.98 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.76 Median $7.76 Typical High $12.02 | Professional | 81 · Minimal assistant surgeon | $7.76 | $7.76 | $12.02 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.76 Median $7.76 Typical High $12.02 | Professional | 82 · Assistant surgeon, no resident | $7.76 | $7.76 | $12.02 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $7.76 Median $7.76 Typical High $12.02 | Professional | AS · PA/NP assist | $7.76 | $7.76 | $12.02 |
Where South Carolina sits
The same service costs 141.3 times more in New York than in Arkansas. 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· 45th of 51
$56.23
NY $5,129AR $36.31
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.