How much rates vary
Facilitymedian $60 · 10th to 90th $50 to $166Professionalmedian $58 · 10th to 90th $36 to $85
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 $50.12 Median $50.12 Typical High $165.96 | Facility | None | $50.12 | $50.12 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $53.70 | Professional | None (both parts) | $50.12 | $50.12 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $21.88 | Professional | 26 · Professional part | $20.89 | $20.89 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $32.36 | Professional | TC · Technical part | $28.84 | $28.84 | $32.36 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 26 · Professional part | $23.44 | $23.44 | $23.44 |
BCBS South Carolina Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $70.79 | Professional | None (both parts) | $57.54 | $57.54 | $70.79 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $28.84 | Professional | 26 · Professional part | $23.44 | $23.44 | $28.84 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $41.69 | Professional | TC · Technical part | $33.88 | $33.88 | $41.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $61.66 Typical High $107.15 | Professional | None (both parts) | $58.88 | $61.66 | $107.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.92 Typical High $47.86 | Professional | 26 · Professional part | $26.30 | $26.92 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $33.88 Typical High $61.66 | Professional | TC · Technical part | $32.36 | $33.88 | $61.66 |
Medcost Setting Facility Modifier None Typical Low $50.12 Median $60.26 Typical High $165.96 | Facility | None | $50.12 | $60.26 | $165.96 |
Medcost Setting Professional Modifier None (both parts) Typical Low $69.18 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $69.18 | $85.11 | $85.11 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $51.29 | Professional | 26 · Professional part | $37.15 | $37.15 | $51.29 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $70.79 | Professional | TC · Technical part | $46.77 | $46.77 | $70.79 |
Molina Setting Professional Modifier None (both parts) Typical Low $31.62 Median $41.69 Typical High $61.66 | Professional | None (both parts) | $31.62 | $41.69 | $61.66 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $61.66 Typical High $109.65 | Professional | None (both parts) | $48.98 | $61.66 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $27.54 Typical High $46.77 | Professional | 26 · Professional part | $20.89 | $27.54 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $34.67 Typical High $60.26 | Professional | TC · Technical part | $27.54 | $34.67 | $60.26 |
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 $41.69 Median $41.69 Typical High $53.70 | Professional | 51 · Multiple procedures | $41.69 | $41.69 | $53.70 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $16.98 Median $16.98 Typical High $21.38 | Professional | 80 · Assistant surgeon | $16.98 | $16.98 | $21.38 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $11.75 Median $11.75 Typical High $15.14 | Professional | 81 · Minimal assistant surgeon | $11.75 | $11.75 | $15.14 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $11.75 Median $11.75 Typical High $15.14 | Professional | 82 · Assistant surgeon, no resident | $11.75 | $11.75 | $15.14 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $11.75 Median $11.75 Typical High $15.14 | Professional | AS · PA/NP assist | $11.75 | $11.75 | $15.14 |
Where South Carolina sits
The same service costs 5.9 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· 45th of 51
$57.54
AK $186UT $31.62
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.