How much rates vary
Facilitymedian $479 · 10th to 90th $117 to $933Professionalmedian $81 · 10th to 90th $39 to $158
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 $69.18 Median $85.11 Typical High $120.23 | Facility | None | $69.18 | $85.11 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $97.72 | Professional | None (both parts) | $69.18 | $69.18 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $36.31 | Professional | 26 · Professional part | $28.18 | $28.18 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $57.54 | Professional | TC · Technical part | $40.74 | $40.74 | $57.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $34.67 | Professional | 26 · Professional part | $30.90 | $30.90 | $34.67 |
BCBS South Carolina Setting Facility Modifier None Typical Low $251.19 Median $512.86 Typical High $933.25 | Facility | None | $251.19 | $512.86 | $933.25 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $75.86 Median $83.18 Typical High $104.71 | Professional | None (both parts) | $75.86 | $83.18 | $104.71 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $40.74 Typical High $51.29 | Professional | 26 · Professional part | $30.90 | $40.74 | $51.29 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $43.65 Typical High $58.88 | Professional | TC · Technical part | $38.02 | $43.65 | $58.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $89.13 Typical High $154.88 | Professional | None (both parts) | $81.28 | $89.13 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $39.81 Typical High $69.18 | Professional | 26 · Professional part | $36.31 | $39.81 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $50.12 Typical High $91.20 | Professional | TC · Technical part | $45.71 | $50.12 | $91.20 |
Medcost Setting Facility Modifier None Typical Low $69.18 Median $83.18 Typical High $223.87 | Facility | None | $69.18 | $83.18 | $223.87 |
Medcost Setting Professional Modifier None (both parts) Typical Low $95.50 Median $117.49 Typical High $131.83 | Professional | None (both parts) | $95.50 | $117.49 | $131.83 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $77.62 | Professional | 26 · Professional part | $51.29 | $51.29 | $77.62 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $100.00 | Professional | TC · Technical part | $64.57 | $64.57 | $100.00 |
Molina Setting Professional Modifier None (both parts) Typical Low $35.48 Median $60.26 Typical High $169.82 | Professional | None (both parts) | $35.48 | $60.26 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $95.50 Typical High $162.18 | Professional | None (both parts) | $74.13 | $95.50 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $40.74 Typical High $70.79 | Professional | 26 · Professional part | $31.62 | $40.74 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $54.95 Typical High $91.20 | Professional | TC · Technical part | $41.69 | $54.95 | $91.20 |
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 $58.88 Median $58.88 Typical High $120.23 | Professional | 51 · Multiple procedures | $58.88 | $58.88 | $120.23 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $23.44 Median $23.44 Typical High $48.98 | Professional | 80 · Assistant surgeon | $23.44 | $23.44 | $48.98 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.22 Median $16.22 Typical High $33.88 | Professional | 81 · Minimal assistant surgeon | $16.22 | $16.22 | $33.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.22 Median $16.22 Typical High $33.88 | Professional | 82 · Assistant surgeon, no resident | $16.22 | $16.22 | $33.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $16.22 Median $16.22 Typical High $33.88 | Professional | AS · PA/NP assist | $16.22 | $16.22 | $33.88 |
Where South Carolina sits
The same service costs 3.8 times more in Alaska than in Texas. 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· 37th of 51
$83.18
AK $240TX $63.10
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.