How much rates vary
Facilitymedian $200 · 10th to 90th $102 to $479Professionalmedian $110 · 10th to 90th $66 to $200
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 $85.11 Median $85.11 Typical High $131.83 | Facility | None | $85.11 | $85.11 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $128.82 | Professional | None (both parts) | $85.11 | $85.11 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $32.36 | Professional | 26 · Professional part | $23.99 | $23.99 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $95.50 | Professional | TC · Technical part | $61.66 | $61.66 | $95.50 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $72.44 Median $104.71 Typical High $114.82 | Professional | None (both parts) | $72.44 | $104.71 | $114.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $30.90 Typical High $52.48 | Professional | 26 · Professional part | $28.18 | $30.90 | $52.48 |
BCBS South Carolina Setting Facility Modifier None Typical Low $147.91 Median $199.53 Typical High $199.53 | Facility | None | $147.91 | $199.53 | $199.53 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $104.71 Median $123.03 Typical High $158.49 | Professional | None (both parts) | $104.71 | $123.03 | $158.49 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $34.67 Typical High $44.67 | Professional | 26 · Professional part | $28.18 | $34.67 | $44.67 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $87.10 Typical High $112.20 | Professional | TC · Technical part | $77.62 | $87.10 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $331.13 Typical High $562.34 | Facility | None | $281.84 | $331.13 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $109.65 Typical High $194.98 | Professional | None (both parts) | $104.71 | $109.65 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $31.62 Typical High $56.23 | Professional | 26 · Professional part | $30.90 | $31.62 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $77.62 Typical High $138.04 | Professional | TC · Technical part | $74.13 | $77.62 | $138.04 |
Medcost Setting Facility Modifier None Typical Low $85.11 Median $102.33 Typical High $275.42 | Facility | None | $85.11 | $102.33 | $275.42 |
Medcost Setting Professional Modifier None (both parts) Typical Low $117.49 Median $151.36 Typical High $154.88 | Professional | None (both parts) | $117.49 | $151.36 | $154.88 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $58.88 | Professional | 26 · Professional part | $43.65 | $43.65 | $58.88 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $151.36 | Professional | TC · Technical part | $107.15 | $107.15 | $151.36 |
Molina Setting Professional Modifier None (both parts) Typical Low $50.12 Median $112.20 Typical High $223.87 | Professional | None (both parts) | $50.12 | $112.20 | $223.87 |
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 $89.13 Median $109.65 Typical High $190.55 | Professional | None (both parts) | $89.13 | $109.65 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $32.36 Typical High $54.95 | Professional | 26 · Professional part | $25.12 | $32.36 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $79.43 Typical High $138.04 | Professional | TC · Technical part | $63.10 | $79.43 | $138.04 |
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 $74.13 Median $75.86 Typical High $95.50 | Professional | 51 · Multiple procedures | $74.13 | $75.86 | $95.50 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $29.51 Median $30.20 Typical High $38.02 | Professional | 80 · Assistant surgeon | $29.51 | $30.20 | $38.02 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $20.42 Median $21.38 Typical High $26.92 | Professional | 81 · Minimal assistant surgeon | $20.42 | $21.38 | $26.92 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $20.42 Median $21.38 Typical High $26.92 | Professional | 82 · Assistant surgeon, no resident | $20.42 | $21.38 | $26.92 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $20.42 Median $21.38 Typical High $26.92 | Professional | AS · PA/NP assist | $20.42 | $21.38 | $26.92 |
Where South Carolina sits
The same service costs 3.7 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· 33rd of 51
$112
AK $309TX $83.18
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.