How much rates vary
Facilitymedian $81 · 10th to 90th $35 to $191Professionalmedian $59 · 10th to 90th $30 to $91
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 $58.88 Median $74.13 Typical High $120.23 | Facility | None | $58.88 | $74.13 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $58.88 Typical High $89.13 | Professional | None (both parts) | $52.48 | $58.88 | $89.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $8.91 Typical High $15.49 | Professional | 26 · Professional part | $8.91 | $8.91 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $50.12 Typical High $75.86 | Professional | TC · Technical part | $42.66 | $50.12 | $75.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $38.02 Median $41.69 Typical High $75.86 | Professional | None (both parts) | $38.02 | $41.69 | $75.86 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $35.48 Typical High $64.57 | Professional | TC · Technical part | $32.36 | $35.48 | $64.57 |
BCBS South Carolina Setting Facility Modifier None Typical Low $31.62 Median $74.13 Typical High $125.89 | Facility | None | $31.62 | $74.13 | $125.89 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | TC · Technical part | $51.29 | $51.29 | $51.29 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $20.89 Median $64.57 Typical High $75.86 | Professional | None (both parts) | $20.89 | $64.57 | $75.86 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $25.70 Typical High $32.36 | Professional | 26 · Professional part | $10.96 | $25.70 | $32.36 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $50.12 Typical High $64.57 | Professional | TC · Technical part | $31.62 | $50.12 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $173.78 Typical High $416.87 | Facility | None | $128.82 | $173.78 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $31.62 Typical High $77.62 | Professional | None (both parts) | $25.70 | $31.62 | $77.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.50 Median $5.89 Typical High $19.05 | Professional | 26 · Professional part | $5.50 | $5.89 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $26.30 Typical High $58.88 | Professional | TC · Technical part | $20.42 | $26.30 | $58.88 |
Medcost Setting Facility Modifier None Typical Low $45.71 Median $79.43 Typical High $218.78 | Facility | None | $45.71 | $79.43 | $218.78 |
Medcost Setting Professional Modifier None (both parts) Typical Low $41.69 Median $57.54 Typical High $91.20 | Professional | None (both parts) | $41.69 | $57.54 | $91.20 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $21.88 Typical High $38.90 | Professional | 26 · Professional part | $16.22 | $21.88 | $38.90 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $77.62 Typical High $112.20 | Professional | TC · Technical part | $37.15 | $77.62 | $112.20 |
Molina Setting Professional Modifier None (both parts) Typical Low $52.48 Median $61.66 Typical High $91.20 | Professional | None (both parts) | $52.48 | $61.66 | $91.20 |
United Setting Facility Modifier None Typical Low $562.34 Median $676.08 Typical High $891.25 | Facility | None | $562.34 | $676.08 | $891.25 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $64.57 Typical High $154.88 | Professional | None (both parts) | $42.66 | $64.57 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $12.59 Typical High $27.54 | Professional | 26 · Professional part | $6.76 | $12.59 | $27.54 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $56.23 Typical High $128.82 | Professional | TC · Technical part | $35.48 | $56.23 | $128.82 |
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 $20.89 Median $28.18 Typical High $56.23 | Professional | 51 · Multiple procedures | $20.89 | $28.18 | $56.23 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.32 Median $11.48 Typical High $22.91 | Professional | 80 · Assistant surgeon | $8.32 | $11.48 | $22.91 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.89 Median $7.94 Typical High $15.85 | Professional | 81 · Minimal assistant surgeon | $5.89 | $7.94 | $15.85 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.89 Median $7.94 Typical High $15.85 | Professional | 82 · Assistant surgeon, no resident | $5.89 | $7.94 | $15.85 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.89 Median $7.94 Typical High $15.85 | Professional | AS · PA/NP assist | $5.89 | $7.94 | $15.85 |
Where South Carolina sits
The same service costs 6.0 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· 44th of 51
$61.66
AK $209AL $34.67
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.