How much rates vary
Facilitymedian $661 · 10th to 90th $126 to $1,950Professionalmedian $191 · 10th to 90th $85 to $309
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 $275.42 Median $5,623.41 Typical High $21,877.62 | Facility | None | $275.42 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $275.42 Typical High $302.00 | Professional | None (both parts) | $223.87 | $275.42 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $93.33 Typical High $102.33 | Professional | 26 · Professional part | $74.13 | $93.33 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $181.97 Typical High $181.97 | Professional | TC · Technical part | $151.36 | $181.97 | $181.97 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $173.78 | $173.78 | $173.78 |
BCBS South Carolina Setting Facility Modifier None Typical Low $436.52 Median $1,047.13 Typical High $1,445.44 | Facility | None | $436.52 | $1,047.13 | $1,445.44 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | TC · Technical part | $549.54 | $549.54 | $549.54 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $131.83 Median $186.21 Typical High $275.42 | Professional | None (both parts) | $131.83 | $186.21 | $275.42 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $100.00 Typical High $147.91 | Professional | 26 · Professional part | $74.13 | $100.00 | $147.91 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $112.20 Typical High $173.78 | Professional | TC · Technical part | $19.05 | $112.20 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $371.54 Typical High $707.95 | Facility | None | $138.04 | $371.54 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $275.42 Typical High $489.78 | Professional | None (both parts) | $218.78 | $275.42 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $93.33 Typical High $165.96 | Professional | 26 · Professional part | $87.10 | $93.33 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $190.55 Typical High $302.00 | Professional | TC · Technical part | $131.83 | $190.55 | $302.00 |
Medcost Setting Facility Modifier None Typical Low $125.89 Median $194.98 Typical High $302.00 | Facility | None | $125.89 | $194.98 | $302.00 |
Medcost Setting Professional Modifier None (both parts) Typical Low $208.93 Median $275.42 Typical High $338.84 | Professional | None (both parts) | $208.93 | $275.42 | $338.84 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $102.33 Typical High $134.90 | Professional | 26 · Professional part | $100.00 | $102.33 | $134.90 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $204.17 Typical High $263.03 | Professional | TC · Technical part | $154.88 | $204.17 | $263.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $75.86 Median $158.49 Typical High $281.84 | Professional | None (both parts) | $75.86 | $158.49 | $281.84 |
United Setting Facility Modifier None Typical Low $83.18 Median $446.68 Typical High $2,238.72 | Facility | None | $83.18 | $446.68 | $2,238.72 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $275.42 Typical High $489.78 | Professional | None (both parts) | $190.55 | $275.42 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $93.33 Typical High $177.83 | Professional | 26 · Professional part | $72.44 | $93.33 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $169.82 Typical High $316.23 | Professional | TC · Technical part | $114.82 | $169.82 | $316.23 |
7 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $112.20 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $44.67 | $54.95 | $54.95 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $123.03 Median $158.49 Typical High $199.53 | Professional | 51 · Multiple procedures | $123.03 | $158.49 | $199.53 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $50.12 Median $63.10 Typical High $79.43 | Professional | 80 · Assistant surgeon | $50.12 | $63.10 | $79.43 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $34.67 Median $44.67 Typical High $56.23 | Professional | 81 · Minimal assistant surgeon | $34.67 | $44.67 | $56.23 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $34.67 Median $44.67 Typical High $56.23 | Professional | 82 · Assistant surgeon, no resident | $34.67 | $44.67 | $56.23 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $34.67 Median $44.67 Typical High $56.23 | Professional | AS · PA/NP assist | $34.67 | $44.67 | $56.23 |
Where South Carolina sits
The same service costs 5.2 times more in Wisconsin than in Utah. 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· 47th of 51
$200
WI $708UT $135
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.