How much rates vary
Facilitymedian $1,585 · 10th to 90th $437 to $2,344Professionalmedian $224 · 10th to 90th $85 to $550
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 $181.97 Median $1,949.84 Typical High $3,311.31 | Facility | None | $181.97 | $1,949.84 | $3,311.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $398.11 | Professional | None (both parts) | $181.97 | $181.97 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $104.71 | Professional | 26 · Professional part | $58.88 | $58.88 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $208.93 | Professional | TC · Technical part | $123.03 | $123.03 | $208.93 |
BCBS South Carolina Setting Facility Modifier None Typical Low $776.25 Median $1,737.80 Typical High $2,344.23 | Facility | None | $776.25 | $1,737.80 | $2,344.23 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | TC · Technical part | $1,071.52 | $1,071.52 | $1,071.52 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $199.53 Median $288.40 Typical High $549.54 | Professional | None (both parts) | $199.53 | $288.40 | $549.54 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $70.79 Typical High $134.90 | Professional | 26 · Professional part | $64.57 | $70.79 | $134.90 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $181.97 Typical High $478.63 | Professional | TC · Technical part | $134.90 | $181.97 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $891.25 Typical High $1,230.27 | Facility | None | $575.44 | $891.25 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $269.15 Typical High $501.19 | Professional | None (both parts) | $245.47 | $269.15 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $81.28 Typical High $144.54 | Professional | 26 · Professional part | $74.13 | $81.28 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $181.97 Typical High $338.84 | Professional | TC · Technical part | $169.82 | $181.97 | $338.84 |
Medcost Setting Facility Modifier None Typical Low $181.97 Median $199.53 Typical High $245.47 | Facility | None | $181.97 | $199.53 | $245.47 |
Medcost Setting Professional Modifier None (both parts) Typical Low $251.19 Median $354.81 Typical High $812.83 | Professional | None (both parts) | $251.19 | $354.81 | $812.83 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $257.04 | Professional | 26 · Professional part | $107.15 | $107.15 | $257.04 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $549.54 | Professional | TC · Technical part | $245.47 | $245.47 | $549.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $75.86 Median $165.96 Typical High $316.23 | Professional | None (both parts) | $75.86 | $165.96 | $316.23 |
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 $229.09 Median $489.78 Typical High $1,230.27 | Professional | None (both parts) | $229.09 | $489.78 | $1,230.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $85.11 Typical High $151.36 | Professional | 26 · Professional part | $67.61 | $85.11 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $338.84 Typical High $1,096.48 | Professional | TC · Technical part | $158.49 | $338.84 | $1,096.48 |
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 $154.88 Median $173.78 Typical High $398.11 | Professional | 51 · Multiple procedures | $154.88 | $173.78 | $398.11 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $63.10 Median $70.79 Typical High $128.82 | Professional | 80 · Assistant surgeon | $63.10 | $70.79 | $128.82 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $43.65 Median $48.98 Typical High $89.13 | Professional | 81 · Minimal assistant surgeon | $43.65 | $48.98 | $89.13 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $43.65 Median $48.98 Typical High $89.13 | Professional | 82 · Assistant surgeon, no resident | $43.65 | $48.98 | $89.13 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $43.65 Median $48.98 Typical High $89.13 | Professional | AS · PA/NP assist | $43.65 | $48.98 | $89.13 |
Where South Carolina sits
The same service costs 6.5 times more in Wyoming 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· 45th of 51
$229
WY $851TX $132
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.