How much rates vary
Facilitymedian $204 · 10th to 90th $174 to $1,230Professionalmedian $209 · 10th to 90th $120 to $347
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 $173.78 Median $1,949.84 Typical High $3,311.31 | Facility | None | $173.78 | $1,949.84 | $3,311.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $218.78 | Professional | None (both parts) | $173.78 | $173.78 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $52.48 | Professional | 26 · Professional part | $44.67 | $44.67 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $165.96 | Professional | TC · Technical part | $128.82 | $128.82 | $165.96 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None (both parts) | $389.05 | $389.05 | $389.05 |
BCBS South Carolina Setting Facility Modifier None Typical Low $181.97 Median $199.53 Typical High $398.11 | Facility | None | $181.97 | $199.53 | $398.11 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $177.83 Median $186.21 Typical High $269.15 | Professional | None (both parts) | $177.83 | $186.21 | $269.15 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $48.98 Typical High $72.44 | Professional | 26 · Professional part | $43.65 | $48.98 | $72.44 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $134.90 Typical High $199.53 | Professional | TC · Technical part | $131.83 | $134.90 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $912.01 Typical High $1,230.27 | Facility | None | $588.84 | $912.01 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $251.19 Typical High $524.81 | Professional | None (both parts) | $229.09 | $251.19 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $61.66 Typical High $112.20 | Professional | 26 · Professional part | $57.54 | $61.66 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $186.21 Typical High $346.74 | Professional | TC · Technical part | $173.78 | $186.21 | $346.74 |
Medcost Setting Facility Modifier None Typical Low $173.78 Median $190.55 Typical High $234.42 | Facility | None | $173.78 | $190.55 | $234.42 |
Medcost Setting Professional Modifier None (both parts) Typical Low $239.88 Median $331.13 Typical High $758.58 | Professional | None (both parts) | $239.88 | $331.13 | $758.58 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $190.55 | Professional | 26 · Professional part | $81.28 | $81.28 | $190.55 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $251.19 Typical High $575.44 | Professional | TC · Technical part | $251.19 | $251.19 | $575.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $51.29 Median $199.53 Typical High $338.84 | Professional | None (both parts) | $51.29 | $199.53 | $338.84 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,202.26 Typical High $1,584.89 | Facility | None | $1,000.00 | $1,202.26 | $1,584.89 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $263.03 Typical High $457.09 | Professional | None (both parts) | $208.93 | $263.03 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $64.57 Typical High $112.20 | Professional | 26 · Professional part | $51.29 | $64.57 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $199.53 Typical High $338.84 | Professional | TC · Technical part | $154.88 | $199.53 | $338.84 |
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 $147.91 Median $165.96 Typical High $380.19 | Professional | 51 · Multiple procedures | $147.91 | $165.96 | $380.19 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $58.88 Median $66.07 Typical High $120.23 | Professional | 80 · Assistant surgeon | $58.88 | $66.07 | $120.23 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $41.69 Median $46.77 Typical High $85.11 | Professional | 81 · Minimal assistant surgeon | $41.69 | $46.77 | $85.11 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $41.69 Median $46.77 Typical High $85.11 | Professional | 82 · Assistant surgeon, no resident | $41.69 | $46.77 | $85.11 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $41.69 Median $46.77 Typical High $85.11 | Professional | AS · PA/NP assist | $41.69 | $46.77 | $85.11 |
Where South Carolina sits
The same service costs 5.4 times more in Wyoming than in Utah. 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· 45th of 51
$209
WY $813UT $151
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.