How much rates vary
Facilitymedian $174 · 10th to 90th $44 to $295Professionalmedian $36 · 10th to 90th $25 to $59
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 $24.55 Median $29.51 Typical High $44.67 | Facility | None | $24.55 | $29.51 | $44.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $24.55 Typical High $43.65 | Professional | None (both parts) | $24.55 | $24.55 | $43.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.76 Typical High $13.49 | Professional | 26 · Professional part | $7.41 | $7.76 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $16.98 Typical High $30.20 | Professional | TC · Technical part | $16.98 | $16.98 | $30.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.44 Median $28.18 Typical High $40.74 | Professional | None (both parts) | $23.44 | $28.18 | $40.74 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.51 Typical High $15.49 | Professional | 26 · Professional part | $6.76 | $8.51 | $15.49 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $22.91 Typical High $34.67 | Professional | TC · Technical part | $16.60 | $22.91 | $34.67 |
BCBS South Carolina Setting Facility Modifier None Typical Low $100.00 Median $186.21 Typical High $295.12 | Facility | None | $100.00 | $186.21 | $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 $28.18 Median $37.15 Typical High $58.88 | Professional | None (both parts) | $28.18 | $37.15 | $58.88 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $19.50 Typical High $25.12 | Professional | 26 · Professional part | $8.51 | $19.50 | $25.12 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $19.50 Typical High $26.92 | Professional | TC · Technical part | $16.60 | $19.50 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $234.42 Typical High $467.74 | Facility | None | $128.82 | $234.42 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $30.20 Typical High $54.95 | Professional | None (both parts) | $26.92 | $30.20 | $54.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.00 Typical High $19.05 | Professional | 26 · Professional part | $9.33 | $10.00 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $19.50 Typical High $35.48 | Professional | TC · Technical part | $17.38 | $19.50 | $35.48 |
Medcost Setting Facility Modifier None Typical Low $24.55 Median $29.51 Typical High $81.28 | Facility | None | $24.55 | $29.51 | $81.28 |
Medcost Setting Professional Modifier None (both parts) Typical Low $33.88 Median $38.02 Typical High $48.98 | Professional | None (both parts) | $33.88 | $38.02 | $48.98 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.18 Typical High $20.42 | Professional | 26 · Professional part | $13.18 | $13.18 | $20.42 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $39.81 | Professional | TC · Technical part | $25.12 | $25.12 | $39.81 |
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 $24.55 Median $33.11 Typical High $56.23 | Professional | None (both parts) | $24.55 | $33.11 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.72 Typical High $18.62 | Professional | 26 · Professional part | $8.32 | $10.72 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $21.88 Typical High $39.81 | Professional | TC · Technical part | $15.85 | $21.88 | $39.81 |
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 $19.05 Median $19.05 Typical High $44.67 | Professional | 51 · Multiple procedures | $19.05 | $19.05 | $44.67 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.59 Median $7.59 Typical High $17.78 | Professional | 80 · Assistant surgeon | $7.59 | $7.59 | $17.78 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.37 Median $5.37 Typical High $12.59 | Professional | 81 · Minimal assistant surgeon | $5.37 | $5.37 | $12.59 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.37 Median $5.37 Typical High $12.59 | Professional | 82 · Assistant surgeon, no resident | $5.37 | $5.37 | $12.59 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.37 Median $5.37 Typical High $12.59 | Professional | AS · PA/NP assist | $5.37 | $5.37 | $12.59 |
Where South Carolina sits
The same service costs 5.0 times more in Vermont than in New York. 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
$37.15
VT $110NY $21.88
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.