How much rates vary
Facilitymedian $174 · 10th to 90th $49 to $295Professionalmedian $40 · 10th to 90th $28 to $60
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 $27.54 Median $34.67 Typical High $87.10 | Facility | None | $27.54 | $34.67 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $27.54 Typical High $48.98 | Professional | None (both parts) | $27.54 | $27.54 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $8.91 Typical High $15.14 | Professional | 26 · Professional part | $8.91 | $8.91 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $18.62 Typical High $33.11 | Professional | TC · Technical part | $18.62 | $18.62 | $33.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $26.30 Median $30.90 Typical High $52.48 | Professional | None (both parts) | $26.30 | $30.90 | $52.48 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.72 Typical High $17.78 | Professional | 26 · Professional part | $7.76 | $10.72 | $17.78 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $25.12 Typical High $36.31 | Professional | TC · Technical part | $18.20 | $25.12 | $36.31 |
BCBS South Carolina Setting Facility Modifier None Typical Low $100.00 Median $190.55 Typical High $295.12 | Facility | None | $100.00 | $190.55 | $295.12 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | TC · Technical part | $109.65 | $109.65 | $109.65 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $30.90 Median $43.65 Typical High $69.18 | Professional | None (both parts) | $30.90 | $43.65 | $69.18 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $21.38 Typical High $27.54 | Professional | 26 · Professional part | $9.77 | $21.38 | $27.54 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $22.91 Typical High $32.36 | Professional | TC · Technical part | $20.42 | $22.91 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $234.42 Typical High $467.74 | Facility | None | $141.25 | $234.42 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $33.88 Typical High $61.66 | Professional | None (both parts) | $30.20 | $33.88 | $61.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.02 Typical High $22.91 | Professional | 26 · Professional part | $11.22 | $12.02 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $20.89 Typical High $38.90 | Professional | TC · Technical part | $18.62 | $20.89 | $38.90 |
Medcost Setting Facility Modifier None Typical Low $27.54 Median $34.67 Typical High $89.13 | Facility | None | $27.54 | $34.67 | $89.13 |
Medcost Setting Professional Modifier None (both parts) Typical Low $38.02 Median $42.66 Typical High $100.00 | Professional | None (both parts) | $38.02 | $42.66 | $100.00 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $15.85 Typical High $23.99 | Professional | 26 · Professional part | $15.85 | $15.85 | $23.99 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $26.92 Typical High $44.67 | Professional | TC · Technical part | $26.92 | $26.92 | $44.67 |
Molina Setting Professional Modifier None (both parts) Typical Low $32.36 Median $43.65 Typical High $61.66 | Professional | None (both parts) | $32.36 | $43.65 | $61.66 |
United Setting Facility Modifier None Typical Low $363.08 Median $446.68 Typical High $575.44 | Facility | None | $363.08 | $446.68 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $27.54 Median $37.15 Typical High $63.10 | Professional | None (both parts) | $27.54 | $37.15 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.59 Typical High $22.39 | Professional | 26 · Professional part | $10.00 | $12.59 | $22.39 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $23.99 Typical High $42.66 | Professional | TC · Technical part | $16.98 | $23.99 | $42.66 |
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 $21.38 Median $21.38 Typical High $48.98 | Professional | 51 · Multiple procedures | $21.38 | $21.38 | $48.98 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.51 Median $8.51 Typical High $19.95 | Professional | 80 · Assistant surgeon | $8.51 | $8.51 | $19.95 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.03 Median $6.03 Typical High $13.80 | Professional | 81 · Minimal assistant surgeon | $6.03 | $6.03 | $13.80 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.03 Median $6.03 Typical High $13.80 | Professional | 82 · Assistant surgeon, no resident | $6.03 | $6.03 | $13.80 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.03 Median $6.03 Typical High $13.80 | Professional | AS · PA/NP assist | $6.03 | $6.03 | $13.80 |
Where South Carolina sits
The same service costs 17.0 times more in Vermont than in Florida. 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· 21st of 51
$41.69
VT $447FL $26.30
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.