How much rates vary
Facilitymedian $178 · 10th to 90th $83 to $339Professionalmedian $110 · 10th to 90th $48 to $186
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 $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $109.65 | $117.49 | $117.49 |
BCBS South Carolina Setting Facility Modifier None Typical Low $81.28 Median $162.18 Typical High $234.42 | Facility | None | $81.28 | $162.18 | $234.42 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | TC · Technical part | $107.15 | $107.15 | $107.15 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $79.43 Median $138.04 Typical High $169.82 | Professional | None (both parts) | $79.43 | $138.04 | $169.82 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $34.67 | $95.50 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $302.00 Typical High $741.31 | Facility | None | $229.09 | $302.00 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $51.29 Typical High $147.91 | Professional | None (both parts) | $47.86 | $51.29 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $18.62 Typical High $61.66 | Professional | 26 · Professional part | $16.98 | $18.62 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $33.88 Typical High $85.11 | Professional | TC · Technical part | $29.51 | $33.88 | $85.11 |
Medcost Setting Facility Modifier None Typical Low $83.18 Median $120.23 Typical High $446.68 | Facility | None | $83.18 | $120.23 | $446.68 |
Medcost Setting Professional Modifier None (both parts) Typical Low $83.18 Median $109.65 Typical High $177.83 | Professional | None (both parts) | $83.18 | $109.65 | $177.83 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $52.48 Typical High $64.57 | Professional | 26 · Professional part | $33.11 | $52.48 | $64.57 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $97.72 Typical High $194.98 | Professional | TC · Technical part | $75.86 | $97.72 | $194.98 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $114.82 Typical High $199.53 | Professional | None (both parts) | $33.11 | $114.82 | $199.53 |
United Setting Facility Modifier None Typical Low $218.78 Median $263.03 Typical High $346.74 | Facility | None | $218.78 | $263.03 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $117.49 Typical High $239.88 | Professional | None (both parts) | $74.13 | $117.49 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $40.74 Typical High $87.10 | Professional | 26 · Professional part | $21.38 | $40.74 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $75.86 Typical High $158.49 | Professional | TC · Technical part | $51.29 | $75.86 | $158.49 |
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 $54.95 Typical High $112.20 | Professional | 51 · Multiple procedures | $41.69 | $54.95 | $112.20 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $16.60 Median $21.88 Typical High $44.67 | Professional | 80 · Assistant surgeon | $16.60 | $21.88 | $44.67 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $11.75 Median $15.14 Typical High $31.62 | Professional | 81 · Minimal assistant surgeon | $11.75 | $15.14 | $31.62 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $11.75 Median $15.14 Typical High $31.62 | Professional | 82 · Assistant surgeon, no resident | $11.75 | $15.14 | $31.62 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $11.75 Median $15.14 Typical High $31.62 | Professional | AS · PA/NP assist | $11.75 | $15.14 | $31.62 |
Where South Carolina sits
The same service costs 5.8 times more in Alaska than in Alabama. 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· 36th of 51
$120
AK $331AL $57.54
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.