How much rates vary
Facilitymedian $71 · 10th to 90th $38 to $123Professionalmedian $51 · 10th to 90th $21 to $95
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 $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $40.74 Typical High $61.66 | Professional | None (both parts) | $34.67 | $40.74 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $37.15 | Professional | 26 · Professional part | $22.91 | $22.91 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $10.00 Median $17.78 Typical High $22.39 | Professional | TC · Technical part | $10.00 | $17.78 | $22.39 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $32.36 | $32.36 | $32.36 |
BCBS South Carolina Setting Facility Modifier None Typical Low $34.67 Median $74.13 Typical High $112.20 | Facility | None | $34.67 | $74.13 | $112.20 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $51.29 Median $54.95 Typical High $95.50 | Professional | None (both parts) | $51.29 | $54.95 | $95.50 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $60.26 Typical High $79.43 | Professional | 26 · Professional part | $28.18 | $60.26 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $61.66 Typical High $147.91 | Facility | None | $45.71 | $61.66 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $18.20 Median $20.89 Typical High $57.54 | Professional | None (both parts) | $18.20 | $20.89 | $57.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $15.14 Typical High $46.77 | Professional | 26 · Professional part | $13.80 | $15.14 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.89 Median $5.75 Typical High $12.59 | Professional | TC · Technical part | $3.89 | $5.75 | $12.59 |
Medcost Setting Facility Modifier None Typical Low $39.81 Median $53.70 Typical High $147.91 | Facility | None | $39.81 | $53.70 | $147.91 |
Medcost Setting Professional Modifier None (both parts) Typical Low $54.95 Median $67.61 Typical High $93.33 | Professional | None (both parts) | $54.95 | $67.61 | $93.33 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $52.48 Typical High $74.13 | Professional | 26 · Professional part | $37.15 | $52.48 | $74.13 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $13.80 Typical High $43.65 | Professional | TC · Technical part | $13.49 | $13.80 | $43.65 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.30 Median $42.66 Typical High $81.28 | Professional | None (both parts) | $26.30 | $42.66 | $81.28 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $46.77 Typical High $93.33 | Professional | None (both parts) | $26.92 | $46.77 | $93.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $32.36 Typical High $67.61 | Professional | 26 · Professional part | $16.98 | $32.36 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $9.12 Median $13.80 Typical High $32.36 | Professional | TC · Technical part | $9.12 | $13.80 | $32.36 |
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 $27.54 Median $33.88 Typical High $48.98 | Professional | 51 · Multiple procedures | $27.54 | $33.88 | $48.98 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $10.96 Median $13.49 Typical High $19.50 | Professional | 80 · Assistant surgeon | $10.96 | $13.49 | $19.50 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.76 Median $9.33 Typical High $13.49 | Professional | 81 · Minimal assistant surgeon | $7.76 | $9.33 | $13.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.76 Median $9.33 Typical High $13.49 | Professional | 82 · Assistant surgeon, no resident | $7.76 | $9.33 | $13.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $7.76 Median $9.33 Typical High $13.49 | Professional | AS · PA/NP assist | $7.76 | $9.33 | $13.49 |
Where South Carolina sits
The same service costs 4.7 times more in Alaska than in Louisiana. 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· 24th of 51
$54.95
AK $141LA $30.20
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.