How much rates vary
Facilitymedian $309 · 10th to 90th $76 to $537Professionalmedian $95 · 10th to 90th $63 to $162
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $75.86 Median $75.86 Typical High $251.19 | Facility | None | $75.86 | $75.86 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $85.11 | Professional | None (both parts) | $75.86 | $75.86 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $25.70 | Professional | 26 · Professional part | $23.99 | $23.99 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $58.88 | Professional | TC · Technical part | $52.48 | $52.48 | $58.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 26 · Professional part | $27.54 | $27.54 | $27.54 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $109.65 | Professional | None (both parts) | $87.10 | $87.10 | $109.65 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $33.88 | Professional | 26 · Professional part | $27.54 | $27.54 | $33.88 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $74.13 | Professional | TC · Technical part | $58.88 | $58.88 | $74.13 |
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 $95.50 Median $100.00 Typical High $173.78 | Professional | None (both parts) | $95.50 | $100.00 | $173.78 |
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 $64.57 Median $67.61 Typical High $117.49 | Professional | TC · Technical part | $64.57 | $67.61 | $117.49 |
Medcost Setting Facility Modifier None Typical Low $75.86 Median $91.20 Typical High $251.19 | Facility | None | $75.86 | $91.20 | $251.19 |
Medcost Setting Professional Modifier None (both parts) Typical Low $104.71 Median $134.90 Typical High $138.04 | Professional | None (both parts) | $104.71 | $134.90 | $138.04 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $60.26 | Professional | 26 · Professional part | $43.65 | $43.65 | $60.26 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $138.04 | Professional | TC · Technical part | $91.20 | $91.20 | $138.04 |
Molina Setting Professional Modifier None (both parts) Typical Low $50.12 Median $100.00 Typical High $165.96 | Professional | None (both parts) | $50.12 | $100.00 | $165.96 |
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 $79.43 Median $100.00 Typical High $173.78 | Professional | None (both parts) | $79.43 | $100.00 | $173.78 |
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 $53.70 Median $67.61 Typical High $120.23 | Professional | TC · Technical part | $53.70 | $67.61 | $120.23 |
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 $66.07 Median $67.61 Typical High $85.11 | Professional | 51 · Multiple procedures | $66.07 | $67.61 | $85.11 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $26.30 Median $26.92 Typical High $34.67 | Professional | 80 · Assistant surgeon | $26.30 | $26.92 | $34.67 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $18.62 Median $19.05 Typical High $23.99 | Professional | 81 · Minimal assistant surgeon | $18.62 | $19.05 | $23.99 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $18.62 Median $19.05 Typical High $23.99 | Professional | 82 · Assistant surgeon, no resident | $18.62 | $19.05 | $23.99 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $18.62 Median $19.05 Typical High $23.99 | Professional | AS · PA/NP assist | $18.62 | $19.05 | $23.99 |
Where South Carolina sits
The same service costs 3.9 times more in Alaska 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· 41st of 51
$95.50
AK $282UT $72.44
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.