How much rates vary
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 $338.84 Median $338.84 Typical High $1,288.25 | Facility | None | $338.84 | $338.84 | $1,288.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $549.54 | Professional | None (both parts) | $338.84 | $338.84 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $66.07 | Professional | 26 · Professional part | $57.54 | $57.54 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $281.84 Typical High $457.09 | Professional | TC · Technical part | $281.84 | $281.84 | $457.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $77.62 | $77.62 | $77.62 |
BCBS South Carolina Setting Facility Modifier None Typical Low $354.81 Median $741.31 Typical High $1,148.15 | Facility | None | $354.81 | $741.31 | $1,148.15 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | TC · Technical part | $489.78 | $489.78 | $489.78 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $177.83 Median $446.68 Typical High $537.03 | Professional | None (both parts) | $177.83 | $446.68 | $537.03 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $87.10 Typical High $144.54 | Professional | 26 · Professional part | $41.69 | $87.10 | $144.54 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $371.54 Typical High $389.05 | Professional | TC · Technical part | $91.20 | $371.54 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,023.29 Typical High $2,511.89 | Facility | None | $758.58 | $1,023.29 | $2,511.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $263.03 Typical High $562.34 | Professional | None (both parts) | $186.21 | $263.03 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $37.15 Typical High $120.23 | Professional | 26 · Professional part | $34.67 | $37.15 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $229.09 Typical High $446.68 | Professional | TC · Technical part | $144.54 | $229.09 | $446.68 |
Medcost Setting Facility Modifier None Typical Low $338.84 Median $446.68 Typical High $1,288.25 | Facility | None | $338.84 | $446.68 | $1,288.25 |
Medcost Setting Professional Modifier None (both parts) Typical Low $229.09 Median $537.03 Typical High $616.60 | Professional | None (both parts) | $229.09 | $537.03 | $616.60 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $128.82 Typical High $134.90 | Professional | 26 · Professional part | $93.33 | $128.82 | $134.90 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $630.96 Typical High $676.08 | Professional | TC · Technical part | $616.60 | $630.96 | $676.08 |
Molina Setting Professional Modifier None (both parts) Typical Low $60.26 Median $371.54 Typical High $549.54 | Professional | None (both parts) | $60.26 | $371.54 | $549.54 |
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 $223.87 Median $398.11 Typical High $1,071.52 | Professional | None (both parts) | $223.87 | $398.11 | $1,071.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $79.43 Typical High $173.78 | Professional | 26 · Professional part | $43.65 | $79.43 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $346.74 Typical High $891.25 | Professional | TC · Technical part | $173.78 | $346.74 | $891.25 |
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 $114.82 Median $295.12 Typical High $354.81 | Professional | 51 · Multiple procedures | $114.82 | $295.12 | $354.81 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $45.71 Median $117.49 Typical High $141.25 | Professional | 80 · Assistant surgeon | $45.71 | $117.49 | $141.25 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $31.62 Median $81.28 Typical High $100.00 | Professional | 81 · Minimal assistant surgeon | $31.62 | $81.28 | $100.00 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $31.62 Median $81.28 Typical High $100.00 | Professional | 82 · Assistant surgeon, no resident | $31.62 | $81.28 | $100.00 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $31.62 Median $81.28 Typical High $100.00 | Professional | AS · PA/NP assist | $31.62 | $81.28 | $100.00 |
Where South Carolina sits
The same service costs 11.5 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· 30th of 51
$479
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.