How much rates vary
Facilitymedian $355 · 10th to 90th $32 to $1,122Professionalmedian $56 · 10th to 90th $37 to $107
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 $54.95 Median $58.88 Typical High $75.86 | Facility | None | $54.95 | $58.88 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $54.95 Typical High $85.11 | Professional | None (both parts) | $46.77 | $54.95 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.11 Typical High $48.98 | Professional | 26 · Professional part | $28.18 | $33.11 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $21.88 Typical High $39.81 | Professional | TC · Technical part | $16.98 | $21.88 | $39.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $41.69 Median $47.86 Typical High $87.10 | Professional | None (both parts) | $41.69 | $47.86 | $87.10 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.88 Typical High $50.12 | Professional | 26 · Professional part | $26.30 | $33.88 | $50.12 |
BCBS South Carolina Setting Facility Modifier None Typical Low $204.17 Median $478.63 Typical High $676.08 | Facility | None | $204.17 | $478.63 | $676.08 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | TC · Technical part | $269.15 | $269.15 | $269.15 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $47.86 Median $54.95 Typical High $104.71 | Professional | None (both parts) | $47.86 | $54.95 | $104.71 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.90 Typical High $74.13 | Professional | 26 · Professional part | $28.18 | $38.90 | $74.13 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $6.03 Median $19.50 Typical High $66.07 | Professional | TC · Technical part | $6.03 | $19.50 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $26.30 Typical High $645.65 | Facility | None | $22.91 | $26.30 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $51.29 Typical High $85.11 | Professional | None (both parts) | $45.71 | $51.29 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $34.67 Typical High $53.70 | Professional | 26 · Professional part | $30.90 | $34.67 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $19.50 Typical High $34.67 | Professional | TC · Technical part | $14.79 | $19.50 | $34.67 |
Medcost Setting Facility Modifier None Typical Low $20.89 Median $32.36 Typical High $60.26 | Facility | None | $20.89 | $32.36 | $60.26 |
Medcost Setting Professional Modifier None (both parts) Typical Low $44.67 Median $56.23 Typical High $89.13 | Professional | None (both parts) | $44.67 | $56.23 | $89.13 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $37.15 Typical High $51.29 | Professional | 26 · Professional part | $32.36 | $37.15 | $51.29 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $19.95 Typical High $33.88 | Professional | TC · Technical part | $13.18 | $19.95 | $33.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $60.26 Typical High $117.49 | Professional | None (both parts) | $33.88 | $60.26 | $117.49 |
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 $44.67 Median $54.95 Typical High $93.33 | Professional | None (both parts) | $44.67 | $54.95 | $93.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $35.48 Typical High $58.88 | Professional | 26 · Professional part | $26.92 | $35.48 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $19.50 Typical High $36.31 | Professional | TC · Technical part | $14.45 | $19.50 | $36.31 |
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 $23.44 Median $27.54 Typical High $27.54 | Professional | 52 · Reduced service | $23.44 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $10.96 Typical High $10.96 | Professional | 53 · Discontinued | $9.33 | $10.96 | $10.96 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $22.39 Median $28.84 Typical High $44.67 | Professional | 51 · Multiple procedures | $22.39 | $28.84 | $44.67 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.91 Median $11.48 Typical High $18.20 | Professional | 80 · Assistant surgeon | $8.91 | $11.48 | $18.20 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.31 Median $8.13 Typical High $12.59 | Professional | 81 · Minimal assistant surgeon | $6.31 | $8.13 | $12.59 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.31 Median $8.13 Typical High $12.59 | Professional | 82 · Assistant surgeon, no resident | $6.31 | $8.13 | $12.59 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.31 Median $8.13 Typical High $12.59 | Professional | AS · PA/NP assist | $6.31 | $8.13 | $12.59 |
Where South Carolina sits
The same service costs 6.5 times more in Minnesota than in Kentucky. 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· 27th of 51
$61.66
MN $295KY $45.71
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.