How much rates vary
Facilitymedian $72 · 10th to 90th $35 to $112Professionalmedian $51 · 10th to 90th $26 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 $41.69 Median $41.69 Typical High $83.18 | Facility | None | $41.69 | $41.69 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $70.79 | Professional | None (both parts) | $41.69 | $41.69 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $41.69 | Professional | 26 · Professional part | $28.18 | $28.18 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $13.80 Typical High $21.38 | Professional | TC · Technical part | $13.80 | $13.80 | $21.38 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None (both parts) | $56.23 | $56.23 | $56.23 |
BCBS South Carolina Setting Facility Modifier None Typical Low $36.31 Median $75.86 Typical High $109.65 | Facility | None | $36.31 | $75.86 | $109.65 |
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 $33.88 Median $51.29 Typical High $79.43 | Professional | 26 · Professional part | $33.88 | $51.29 | $79.43 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $3.98 Median $16.22 Typical High $17.38 | Professional | TC · Technical part | $3.98 | $16.22 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $47.86 Typical High $114.82 | Facility | None | $35.48 | $47.86 | $114.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $26.92 Typical High $64.57 | Professional | None (both parts) | $24.55 | $26.92 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $17.78 Typical High $46.77 | Professional | 26 · Professional part | $15.85 | $17.78 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $6.17 Median $7.94 Typical High $19.95 | Professional | TC · Technical part | $6.17 | $7.94 | $19.95 |
Medcost Setting Facility Modifier None Typical Low $41.69 Median $56.23 Typical High $151.36 | Facility | None | $41.69 | $56.23 | $151.36 |
Medcost Setting Professional Modifier None (both parts) Typical Low $64.57 Median $74.13 Typical High $75.86 | Professional | None (both parts) | $64.57 | $74.13 | $75.86 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $63.10 | Professional | 26 · Professional part | $43.65 | $43.65 | $63.10 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $23.44 Typical High $30.90 | Professional | TC · Technical part | $22.91 | $23.44 | $30.90 |
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 $31.62 Median $54.95 Typical High $114.82 | Professional | None (both parts) | $31.62 | $54.95 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $38.90 Typical High $81.28 | Professional | 26 · Professional part | $21.38 | $38.90 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $10.00 Median $16.98 Typical High $36.31 | Professional | TC · Technical part | $10.00 | $16.98 | $36.31 |
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 $33.88 Median $37.15 Typical High $39.81 | Professional | 51 · Multiple procedures | $33.88 | $37.15 | $39.81 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $13.49 Median $14.79 Typical High $16.22 | Professional | 80 · Assistant surgeon | $13.49 | $14.79 | $16.22 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.55 Median $10.23 Typical High $11.22 | Professional | 81 · Minimal assistant surgeon | $9.55 | $10.23 | $11.22 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.55 Median $10.23 Typical High $11.22 | Professional | 82 · Assistant surgeon, no resident | $9.55 | $10.23 | $11.22 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $9.55 Median $10.23 Typical High $11.22 | Professional | AS · PA/NP assist | $9.55 | $10.23 | $11.22 |
Where South Carolina sits
The same service costs 3.8 times more in Wisconsin than in Nevada. 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· 29th of 51
$54.95
WI $120NV $31.62
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.