How much rates vary
Facilitymedian $138 · 10th to 90th $63 to $417Professionalmedian $71 · 10th to 90th $33 to $123
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $63.10 Median $63.10 Typical High $141.25 | Facility | None | $63.10 | $63.10 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $104.71 | Professional | None (both parts) | $63.10 | $63.10 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $31.62 | Professional | 26 · Professional part | $20.89 | $20.89 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $70.79 | Professional | TC · Technical part | $41.69 | $41.69 | $70.79 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $44.67 Median $89.13 Typical High $162.18 | Professional | None (both parts) | $44.67 | $89.13 | $162.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $28.84 Typical High $47.86 | Professional | 26 · Professional part | $12.88 | $28.84 | $47.86 |
BCBS South Carolina Setting Facility Modifier None Typical Low $134.90 Median $154.88 Typical High $489.78 | Facility | None | $134.90 | $154.88 | $489.78 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $52.48 Median $89.13 Typical High $91.20 | Professional | None (both parts) | $52.48 | $89.13 | $91.20 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $34.67 Typical High $41.69 | Professional | 26 · Professional part | $26.30 | $34.67 | $41.69 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $48.98 Typical High $61.66 | Professional | TC · Technical part | $16.98 | $48.98 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $169.82 Typical High $416.87 | Facility | None | $125.89 | $169.82 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $33.11 Typical High $93.33 | Professional | None (both parts) | $31.62 | $33.11 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $11.22 Typical High $31.62 | Professional | 26 · Professional part | $10.72 | $11.22 | $31.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $21.88 Typical High $63.10 | Professional | TC · Technical part | $21.38 | $21.88 | $63.10 |
Medcost Setting Facility Modifier None Typical Low $63.10 Median $75.86 Typical High $239.88 | Facility | None | $63.10 | $75.86 | $239.88 |
Medcost Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $97.72 | Professional | None (both parts) | $93.33 | $93.33 | $97.72 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $46.77 | Professional | 26 · Professional part | $31.62 | $31.62 | $46.77 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $93.33 | Professional | TC · Technical part | $63.10 | $63.10 | $93.33 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $75.86 Typical High $120.23 | Professional | None (both parts) | $33.11 | $75.86 | $120.23 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $81.28 Typical High $165.96 | Professional | None (both parts) | $46.77 | $81.28 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $27.54 Typical High $56.23 | Professional | 26 · Professional part | $13.49 | $27.54 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $53.70 Typical High $109.65 | Professional | TC · Technical part | $33.11 | $53.70 | $109.65 |
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 $46.77 Median $46.77 Typical High $60.26 | Professional | 51 · Multiple procedures | $46.77 | $46.77 | $60.26 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $19.05 Median $19.05 Typical High $23.99 | Professional | 80 · Assistant surgeon | $19.05 | $19.05 | $23.99 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $13.18 Median $13.18 Typical High $16.98 | Professional | 81 · Minimal assistant surgeon | $13.18 | $13.18 | $16.98 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $13.18 Median $13.18 Typical High $16.98 | Professional | 82 · Assistant surgeon, no resident | $13.18 | $13.18 | $16.98 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $13.18 Median $13.18 Typical High $16.98 | Professional | AS · PA/NP assist | $13.18 | $13.18 | $16.98 |
Where South Carolina sits
The same service costs 5.9 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· 38th of 51
$79.43
AK $347AL $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.