How much rates vary
Facilitymedian $263 · 10th to 90th $117 to $468Professionalmedian $209 · 10th to 90th $98 to $339
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 $208.93 Median $263.03 Typical High $416.87 | Facility | None | $208.93 | $263.03 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $323.59 | Professional | None (both parts) | $208.93 | $208.93 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $64.57 Typical High $109.65 | Professional | 26 · Professional part | $61.66 | $64.57 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $239.88 | Professional | TC · Technical part | $151.36 | $151.36 | $239.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $128.82 Median $263.03 Typical High $288.40 | Professional | None (both parts) | $128.82 | $263.03 | $288.40 |
BCBS South Carolina Setting Facility Modifier None Typical Low $112.20 Median $234.42 Typical High $354.81 | Facility | None | $112.20 | $234.42 | $354.81 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | TC · Technical part | $169.82 | $169.82 | $169.82 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $147.91 Median $218.78 Typical High $263.03 | Professional | None (both parts) | $147.91 | $218.78 | $263.03 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $162.18 Typical High $208.93 | Professional | 26 · Professional part | $74.13 | $162.18 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $512.86 Typical High $1,230.27 | Facility | None | $380.19 | $512.86 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $125.89 Typical High $251.19 | Professional | None (both parts) | $89.13 | $125.89 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $40.74 Typical High $125.89 | Professional | 26 · Professional part | $37.15 | $40.74 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $83.18 Typical High $141.25 | Professional | TC · Technical part | $43.65 | $83.18 | $141.25 |
Medcost Setting Facility Modifier None Typical Low $151.36 Median $281.84 Typical High $776.25 | Facility | None | $151.36 | $281.84 | $776.25 |
Medcost Setting Professional Modifier None (both parts) Typical Low $199.53 Median $257.04 Typical High $323.59 | Professional | None (both parts) | $199.53 | $257.04 | $323.59 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $144.54 Typical High $190.55 | Professional | 26 · Professional part | $100.00 | $144.54 | $190.55 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $165.96 Typical High $338.84 | Professional | TC · Technical part | $128.82 | $165.96 | $338.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $91.20 Median $186.21 Typical High $354.81 | Professional | None (both parts) | $91.20 | $186.21 | $354.81 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $1,819.70 Typical High $2,398.83 | Facility | None | $1,513.56 | $1,819.70 | $2,398.83 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $218.78 Typical High $478.63 | Professional | None (both parts) | $147.91 | $218.78 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $87.10 Typical High $181.97 | Professional | 26 · Professional part | $46.77 | $87.10 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $134.90 Typical High $288.40 | Professional | TC · Technical part | $100.00 | $134.90 | $288.40 |
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 $100.00 Median $128.82 Typical High $204.17 | Professional | 51 · Multiple procedures | $100.00 | $128.82 | $204.17 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $39.81 Median $51.29 Typical High $81.28 | Professional | 80 · Assistant surgeon | $39.81 | $51.29 | $81.28 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $28.18 Median $35.48 Typical High $56.23 | Professional | 81 · Minimal assistant surgeon | $28.18 | $35.48 | $56.23 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $28.18 Median $35.48 Typical High $56.23 | Professional | 82 · Assistant surgeon, no resident | $28.18 | $35.48 | $56.23 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $28.18 Median $35.48 Typical High $56.23 | Professional | AS · PA/NP assist | $28.18 | $35.48 | $56.23 |
Where South Carolina sits
The same service costs 4.2 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· 45th of 51
$219
AK $575AL $138
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.