How much rates vary
Facilitymedian $195 · 10th to 90th $74 to $309Professionalmedian $48 · 10th to 90th $35 to $68
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 $35.48 Median $35.48 Typical High $114.82 | Facility | None | $35.48 | $35.48 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $53.70 | Professional | None (both parts) | $35.48 | $35.48 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $16.60 | Professional | 26 · Professional part | $10.96 | $10.96 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $24.55 Typical High $37.15 | Professional | TC · Technical part | $23.99 | $24.55 | $37.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $27.54 Median $33.88 Typical High $33.88 | Professional | None (both parts) | $27.54 | $33.88 | $33.88 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $38.02 Typical High $42.66 | Professional | TC · Technical part | $32.36 | $38.02 | $42.66 |
BCBS South Carolina Setting Facility Modifier None Typical Low $100.00 Median $204.17 Typical High $295.12 | Facility | None | $100.00 | $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 $39.81 Median $52.48 Typical High $74.13 | Professional | None (both parts) | $39.81 | $52.48 | $74.13 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $30.20 Typical High $38.90 | Professional | 26 · Professional part | $12.02 | $30.20 | $38.90 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $27.54 Typical High $38.02 | Professional | TC · Technical part | $21.88 | $27.54 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $281.84 Typical High $562.34 | Facility | None | $181.97 | $281.84 | $562.34 |
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 $14.13 Median $14.79 Typical High $28.18 | Professional | 26 · Professional part | $14.13 | $14.79 | $28.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $27.54 Typical High $51.29 | Professional | TC · Technical part | $23.99 | $27.54 | $51.29 |
Medcost Setting Facility Modifier None Typical Low $35.48 Median $42.66 Typical High $114.82 | Facility | None | $35.48 | $42.66 | $114.82 |
Medcost Setting Professional Modifier None (both parts) Typical Low $48.98 Median $54.95 Typical High $69.18 | Professional | None (both parts) | $48.98 | $54.95 | $69.18 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $30.20 | Professional | 26 · Professional part | $19.95 | $19.95 | $30.20 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $57.54 | Professional | TC · Technical part | $34.67 | $34.67 | $57.54 |
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 $436.52 Median $537.03 Typical High $691.83 | Facility | None | $436.52 | $537.03 | $691.83 |
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 $12.30 Median $15.85 Typical High $27.54 | Professional | 26 · Professional part | $12.30 | $15.85 | $27.54 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $30.90 Typical High $54.95 | Professional | TC · Technical part | $21.88 | $30.90 | $54.95 |
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 $63.10 | Professional | 51 · Multiple procedures | $27.54 | $27.54 | $63.10 |
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 $17.78 | Professional | 81 · Minimal assistant surgeon | $7.59 | $7.59 | $17.78 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.59 Median $7.59 Typical High $17.78 | Professional | 82 · Assistant surgeon, no resident | $7.59 | $7.59 | $17.78 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $7.59 Median $7.59 Typical High $17.78 | Professional | AS · PA/NP assist | $7.59 | $7.59 | $17.78 |
Where South Carolina sits
The same service costs 4.1 times more in Alaska 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
$51.29
AK $126NY $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.