How much rates vary
Facilitymedian $245 · 10th to 90th $129 to $427Professionalmedian $214 · 10th to 90th $112 to $380
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 $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $194.98 | Professional | None (both parts) | $173.78 | $173.78 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $109.65 | Professional | 26 · Professional part | $93.33 | $93.33 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $89.13 | Professional | TC · Technical part | $79.43 | $79.43 | $89.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $107.15 | $107.15 | $107.15 |
BCBS South Carolina Setting Facility Modifier None Typical Low $123.03 Median $245.47 Typical High $354.81 | Facility | None | $123.03 | $245.47 | $354.81 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | TC · Technical part | $169.82 | $169.82 | $169.82 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $213.80 Median $269.15 Typical High $281.84 | Professional | None (both parts) | $213.80 | $269.15 | $281.84 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $158.49 Typical High $169.82 | Professional | 26 · Professional part | $109.65 | $158.49 | $169.82 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $102.33 Typical High $109.65 | Professional | TC · Technical part | $100.00 | $102.33 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $288.40 Typical High $707.95 | Facility | None | $218.78 | $288.40 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $134.90 Typical High $389.05 | Professional | None (both parts) | $114.82 | $134.90 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $67.61 Typical High $239.88 | Professional | 26 · Professional part | $63.10 | $67.61 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $66.07 Typical High $151.36 | Professional | TC · Technical part | $48.98 | $66.07 | $151.36 |
Medcost Setting Facility Modifier None Typical Low $173.78 Median $213.80 Typical High $645.65 | Facility | None | $173.78 | $213.80 | $645.65 |
Medcost Setting Professional Modifier None (both parts) Typical Low $234.42 Median $346.74 Typical High $363.08 | Professional | None (both parts) | $234.42 | $346.74 | $363.08 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $208.93 Typical High $269.15 | Professional | 26 · Professional part | $186.21 | $208.93 | $269.15 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $213.80 Typical High $213.80 | Professional | TC · Technical part | $181.97 | $213.80 | $213.80 |
Molina Setting Professional Modifier None (both parts) Typical Low $87.10 Median $138.04 Typical High $281.84 | Professional | None (both parts) | $87.10 | $138.04 | $281.84 |
United Setting Facility Modifier None Typical Low $218.78 Median $263.03 Typical High $346.74 | Facility | None | $218.78 | $263.03 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $239.88 Typical High $645.65 | Professional | None (both parts) | $134.90 | $239.88 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $134.90 Typical High $346.74 | Professional | 26 · Professional part | $74.13 | $134.90 | $346.74 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $107.15 Typical High $302.00 | Professional | TC · Technical part | $58.88 | $107.15 | $302.00 |
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 $117.49 Median $181.97 Typical High $194.98 | Professional | 51 · Multiple procedures | $117.49 | $181.97 | $194.98 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $46.77 Median $72.44 Typical High $77.62 | Professional | 80 · Assistant surgeon | $46.77 | $72.44 | $77.62 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $32.36 Median $50.12 Typical High $54.95 | Professional | 81 · Minimal assistant surgeon | $32.36 | $50.12 | $54.95 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $32.36 Median $50.12 Typical High $54.95 | Professional | 82 · Assistant surgeon, no resident | $32.36 | $50.12 | $54.95 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $32.36 Median $50.12 Typical High $54.95 | Professional | AS · PA/NP assist | $32.36 | $50.12 | $54.95 |
Where South Carolina sits
The same service costs 6.5 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· 35th of 51
$219
AK $617AL $95.50
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.