How much rates vary
Facilitymedian $83 · 10th to 90th $40 to $148Professionalmedian $66 · 10th to 90th $43 to $135
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 $66.07 Median $66.07 Typical High $234.42 | Facility | None | $66.07 | $66.07 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $79.43 | Professional | None (both parts) | $66.07 | $66.07 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.49 Typical High $18.20 | Professional | 26 · Professional part | $15.49 | $15.49 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $61.66 | Professional | TC · Technical part | $50.12 | $50.12 | $61.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None (both parts) | $38.02 | $38.02 | $38.02 |
BCBS South Carolina Setting Facility Modifier None Typical Low $38.02 Median $77.62 Typical High $109.65 | Facility | None | $38.02 | $77.62 | $109.65 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $51.29 Median $75.86 Typical High $87.10 | Professional | None (both parts) | $51.29 | $75.86 | $87.10 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $18.20 | $42.66 | $42.66 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $58.88 Typical High $61.66 | Professional | TC · Technical part | $43.65 | $58.88 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $162.18 Typical High $398.11 | Facility | None | $123.03 | $162.18 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $43.65 Typical High $131.83 | Professional | None (both parts) | $39.81 | $43.65 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $11.22 Typical High $35.48 | Professional | 26 · Professional part | $10.47 | $11.22 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $31.62 Typical High $95.50 | Professional | TC · Technical part | $28.18 | $31.62 | $95.50 |
Medcost Setting Facility Modifier None Typical Low $47.86 Median $83.18 Typical High $234.42 | Facility | None | $47.86 | $83.18 | $234.42 |
Medcost Setting Professional Modifier None (both parts) Typical Low $48.98 Median $81.28 Typical High $147.91 | Professional | None (both parts) | $48.98 | $81.28 | $147.91 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.02 Typical High $40.74 | Professional | 26 · Professional part | $28.18 | $38.02 | $40.74 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $107.15 Typical High $112.20 | Professional | TC · Technical part | $85.11 | $107.15 | $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 Professional Modifier None (both parts) Typical Low $50.12 Median $91.20 Typical High $204.17 | Professional | None (both parts) | $50.12 | $91.20 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $22.91 Typical High $51.29 | Professional | 26 · Professional part | $12.88 | $22.91 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $72.44 Typical High $151.36 | Professional | TC · Technical part | $38.02 | $72.44 | $151.36 |
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 $24.55 Median $40.74 Typical High $74.13 | Professional | 51 · Multiple procedures | $24.55 | $40.74 | $74.13 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $9.77 Median $16.22 Typical High $29.51 | Professional | 80 · Assistant surgeon | $9.77 | $16.22 | $29.51 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.92 Median $11.48 Typical High $20.89 | Professional | 81 · Minimal assistant surgeon | $6.92 | $11.48 | $20.89 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.92 Median $11.48 Typical High $20.89 | Professional | 82 · Assistant surgeon, no resident | $6.92 | $11.48 | $20.89 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.92 Median $11.48 Typical High $20.89 | Professional | AS · PA/NP assist | $6.92 | $11.48 | $20.89 |
Where South Carolina sits
The same service costs 4.0 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· 40th of 51
$75.86
AK $234AL $58.88
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.