How much rates vary
Facilitymedian $204 · 10th to 90th $98 to $302Professionalmedian $48 · 10th to 90th $35 to $72
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 $34.67 Median $34.67 Typical High $112.20 | Facility | None | $34.67 | $34.67 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $50.12 | Professional | None (both parts) | $34.67 | $34.67 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $14.79 | Professional | 26 · Professional part | $11.22 | $11.22 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $23.44 Typical High $35.48 | Professional | TC · Technical part | $23.44 | $23.44 | $35.48 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $13.49 Typical High $13.49 | Professional | 26 · Professional part | $10.00 | $13.49 | $13.49 |
BCBS South Carolina Setting Facility Modifier None Typical Low $107.15 Median $204.17 Typical High $295.12 | Facility | None | $107.15 | $204.17 | $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 $38.90 Median $53.70 Typical High $77.62 | Professional | None (both parts) | $38.90 | $53.70 | $77.62 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $28.18 Typical High $35.48 | Professional | 26 · Professional part | $12.30 | $28.18 | $35.48 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $28.18 Typical High $39.81 | Professional | TC · Technical part | $25.70 | $28.18 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $234.42 Typical High $467.74 | Facility | None | $169.82 | $234.42 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $42.66 Typical High $77.62 | Professional | None (both parts) | $38.02 | $42.66 | $77.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $15.14 Typical High $29.51 | Professional | 26 · Professional part | $14.45 | $15.14 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $26.92 Typical High $48.98 | Professional | TC · Technical part | $23.99 | $26.92 | $48.98 |
Medcost Setting Facility Modifier None Typical Low $34.67 Median $41.69 Typical High $112.20 | Facility | None | $34.67 | $41.69 | $112.20 |
Medcost Setting Professional Modifier None (both parts) Typical Low $47.86 Median $54.95 Typical High $67.61 | Professional | None (both parts) | $47.86 | $54.95 | $67.61 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $30.90 | Professional | 26 · Professional part | $20.42 | $20.42 | $30.90 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $56.23 | Professional | TC · Technical part | $34.67 | $34.67 | $56.23 |
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 $34.67 Median $46.77 Typical High $79.43 | Professional | None (both parts) | $34.67 | $46.77 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $16.22 Typical High $28.84 | Professional | 26 · Professional part | $12.59 | $16.22 | $28.84 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $30.20 Typical High $53.70 | Professional | TC · Technical part | $21.88 | $30.20 | $53.70 |
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 $27.54 Median $27.54 Typical High $61.66 | Professional | 51 · Multiple procedures | $27.54 | $27.54 | $61.66 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $10.96 Median $10.96 Typical High $25.12 | Professional | 80 · Assistant surgeon | $10.96 | $10.96 | $25.12 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.59 Median $7.59 Typical High $17.38 | Professional | 81 · Minimal assistant surgeon | $7.59 | $7.59 | $17.38 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.59 Median $7.59 Typical High $17.38 | Professional | 82 · Assistant surgeon, no resident | $7.59 | $7.59 | $17.38 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $7.59 Median $7.59 Typical High $17.38 | Professional | AS · PA/NP assist | $7.59 | $7.59 | $17.38 |
Where South Carolina sits
The same service costs 4.1 times more in Alaska 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· 23rd of 51
$51.29
AK $126FL $30.90
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.