How much rates vary
Facilitymedian $166 · 10th to 90th $81 to $355Professionalmedian $107 · 10th to 90th $45 to $186
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 $109.65 Median $109.65 Typical High $398.11 | Facility | None | $109.65 | $109.65 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $109.65 Typical High $141.25 | Professional | None (both parts) | $93.33 | $109.65 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $38.02 | Professional | 26 · Professional part | $26.92 | $26.92 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $83.18 Typical High $89.13 | Professional | TC · Technical part | $64.57 | $83.18 | $89.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $229.09 | Professional | None (both parts) | $70.79 | $70.79 | $229.09 |
BCBS South Carolina Setting Facility Modifier None Typical Low $74.13 Median $154.88 Typical High $245.47 | Facility | None | $74.13 | $154.88 | $245.47 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | TC · Technical part | $102.33 | $102.33 | $102.33 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $69.18 Median $93.33 Typical High $128.82 | Professional | None (both parts) | $69.18 | $93.33 | $128.82 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $32.36 Typical High $67.61 | Professional | 26 · Professional part | $25.12 | $32.36 | $67.61 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $43.65 Typical High $95.50 | Professional | TC · Technical part | $26.30 | $43.65 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $234.42 Typical High $660.69 | Facility | None | $199.53 | $234.42 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $50.12 Typical High $162.18 | Professional | None (both parts) | $44.67 | $50.12 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $19.50 Typical High $67.61 | Professional | 26 · Professional part | $18.20 | $19.50 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $29.51 Typical High $61.66 | Professional | TC · Technical part | $21.38 | $29.51 | $61.66 |
Medcost Setting Facility Modifier None Typical Low $81.28 Median $147.91 Typical High $398.11 | Facility | None | $81.28 | $147.91 | $398.11 |
Medcost Setting Professional Modifier None (both parts) Typical Low $58.88 Median $138.04 Typical High $169.82 | Professional | None (both parts) | $58.88 | $138.04 | $169.82 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $70.79 Typical High $77.62 | Professional | 26 · Professional part | $52.48 | $70.79 | $77.62 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $77.62 Typical High $186.21 | Professional | TC · Technical part | $75.86 | $77.62 | $186.21 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $107.15 Typical High $162.18 | Professional | None (both parts) | $33.11 | $107.15 | $162.18 |
United Setting Facility Modifier None Typical Low $707.95 Median $870.96 Typical High $1,122.02 | Facility | None | $707.95 | $870.96 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $107.15 Typical High $229.09 | Professional | None (both parts) | $67.61 | $107.15 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $37.15 Typical High $97.72 | Professional | 26 · Professional part | $21.88 | $37.15 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $66.07 Typical High $144.54 | Professional | TC · Technical part | $46.77 | $66.07 | $144.54 |
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 $29.51 Median $69.18 Typical High $107.15 | Professional | 51 · Multiple procedures | $29.51 | $69.18 | $107.15 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $11.75 Median $27.54 Typical High $42.66 | Professional | 80 · Assistant surgeon | $11.75 | $27.54 | $42.66 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.32 Median $19.50 Typical High $29.51 | Professional | 81 · Minimal assistant surgeon | $8.32 | $19.50 | $29.51 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.32 Median $19.50 Typical High $29.51 | Professional | 82 · Assistant surgeon, no resident | $8.32 | $19.50 | $29.51 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $8.32 Median $19.50 Typical High $29.51 | Professional | AS · PA/NP assist | $8.32 | $19.50 | $29.51 |
Where South Carolina sits
The same service costs 5.2 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· 36th of 51
$117
AK $309AL $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.