How much rates vary
Facilitymedian $78 · 10th to 90th $39 to $138Professionalmedian $85 · 10th to 90th $42 to $141
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 $69.18 Median $87.10 Typical High $134.90 | Facility | None | $69.18 | $87.10 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $109.65 | Professional | None (both parts) | $69.18 | $69.18 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $67.61 | Professional | 26 · Professional part | $45.71 | $45.71 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $22.91 Typical High $32.36 | Professional | TC · Technical part | $22.91 | $22.91 | $32.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
BCBS South Carolina Setting Facility Modifier None Typical Low $34.67 Median $75.86 Typical High $109.65 | Facility | None | $34.67 | $75.86 | $109.65 |
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 $85.11 Median $109.65 Typical High $128.82 | Professional | None (both parts) | $85.11 | $109.65 | $128.82 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $100.00 Typical High $125.89 | Professional | 26 · Professional part | $56.23 | $100.00 | $125.89 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $8.91 Median $9.33 Typical High $28.18 | Professional | TC · Technical part | $8.91 | $9.33 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $77.62 Typical High $186.21 | Facility | None | $57.54 | $77.62 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $43.65 Typical High $125.89 | Professional | None (both parts) | $41.69 | $43.65 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $30.90 Typical High $95.50 | Professional | 26 · Professional part | $28.18 | $30.90 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $13.18 Typical High $31.62 | Professional | TC · Technical part | $10.23 | $13.18 | $31.62 |
Medcost Setting Facility Modifier None Typical Low $69.18 Median $93.33 Typical High $251.19 | Facility | None | $69.18 | $93.33 | $251.19 |
Medcost Setting Professional Modifier None (both parts) Typical Low $107.15 Median $134.90 Typical High $141.25 | Professional | None (both parts) | $107.15 | $134.90 | $141.25 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $102.33 | Professional | 26 · Professional part | $75.86 | $75.86 | $102.33 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $38.90 Typical High $51.29 | Professional | TC · Technical part | $38.02 | $38.90 | $51.29 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.30 Median $46.77 Typical High $83.18 | Professional | None (both parts) | $26.30 | $46.77 | $83.18 |
United Setting Facility Modifier None Typical Low $3,388.44 Median $4,073.80 Typical High $5,370.32 | Facility | None | $3,388.44 | $4,073.80 | $5,370.32 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $91.20 Typical High $194.98 | Professional | None (both parts) | $52.48 | $91.20 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $64.57 Typical High $138.04 | Professional | 26 · Professional part | $35.48 | $64.57 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $26.92 Typical High $54.95 | Professional | TC · Technical part | $15.49 | $26.92 | $54.95 |
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 $63.10 Median $70.79 Typical High $70.79 | Professional | 51 · Multiple procedures | $63.10 | $70.79 | $70.79 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $25.70 Median $28.18 Typical High $28.18 | Professional | 80 · Assistant surgeon | $25.70 | $28.18 | $28.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $17.78 Median $19.95 Typical High $19.95 | Professional | 81 · Minimal assistant surgeon | $17.78 | $19.95 | $19.95 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $17.78 Median $19.95 Typical High $19.95 | Professional | 82 · Assistant surgeon, no resident | $17.78 | $19.95 | $19.95 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $17.78 Median $19.95 Typical High $19.95 | Professional | AS · PA/NP assist | $17.78 | $19.95 | $19.95 |
Where South Carolina sits
The same service costs 4.5 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· 34th of 51
$83.18
AK $240AL $53.70
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.