How much rates vary
Facilitymedian $158 · 10th to 90th $76 to $324Professionalmedian $107 · 10th to 90th $52 to $174
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 $87.10 Median $107.15 Typical High $181.97 | Facility | None | $87.10 | $107.15 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $162.18 | Professional | None (both parts) | $87.10 | $87.10 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $64.57 | Professional | 26 · Professional part | $30.90 | $30.90 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $95.50 | Professional | TC · Technical part | $54.95 | $54.95 | $95.50 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $125.89 | $125.89 | $125.89 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $41.69 Typical High $43.65 | Professional | 26 · Professional part | $19.05 | $41.69 | $43.65 |
BCBS South Carolina Setting Facility Modifier None Typical Low $70.79 Median $154.88 Typical High $234.42 | Facility | None | $70.79 | $154.88 | $234.42 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | TC · Technical part | $107.15 | $107.15 | $107.15 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $102.33 Median $112.20 Typical High $131.83 | Professional | None (both parts) | $102.33 | $112.20 | $131.83 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $58.88 Typical High $75.86 | Professional | 26 · Professional part | $38.02 | $58.88 | $75.86 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $54.95 Typical High $74.13 | Professional | TC · Technical part | $42.66 | $54.95 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $229.09 Typical High $467.74 | Facility | None | $144.54 | $229.09 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $54.95 Typical High $151.36 | Professional | None (both parts) | $52.48 | $54.95 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.12 Typical High $87.10 | Professional | 26 · Professional part | $21.38 | $25.12 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $34.67 Typical High $64.57 | Professional | TC · Technical part | $22.39 | $34.67 | $64.57 |
Medcost Setting Facility Modifier None Typical Low $87.10 Median $141.25 Typical High $323.59 | Facility | None | $87.10 | $141.25 | $323.59 |
Medcost Setting Professional Modifier None (both parts) Typical Low $131.83 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $131.83 | $173.78 | $173.78 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $69.18 Typical High $75.86 | Professional | 26 · Professional part | $60.26 | $69.18 | $75.86 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $123.03 | Professional | TC · Technical part | $83.18 | $83.18 | $123.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $77.62 Typical High $162.18 | Professional | None (both parts) | $33.11 | $77.62 | $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 $128.82 Typical High $263.03 | Professional | None (both parts) | $67.61 | $128.82 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $43.65 Typical High $125.89 | Professional | 26 · Professional part | $25.70 | $43.65 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $64.57 Typical High $144.54 | Professional | TC · Technical part | $42.66 | $64.57 | $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 $67.61 Median $87.10 Typical High $87.10 | Professional | 51 · Multiple procedures | $67.61 | $87.10 | $87.10 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $26.92 Median $34.67 Typical High $34.67 | Professional | 80 · Assistant surgeon | $26.92 | $34.67 | $34.67 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $19.05 Median $23.99 Typical High $23.99 | Professional | 81 · Minimal assistant surgeon | $19.05 | $23.99 | $23.99 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $19.05 Median $23.99 Typical High $23.99 | Professional | 82 · Assistant surgeon, no resident | $19.05 | $23.99 | $23.99 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $19.05 Median $23.99 Typical High $23.99 | Professional | AS · PA/NP assist | $19.05 | $23.99 | $23.99 |
Where South Carolina sits
The same service costs 7.4 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· 37th of 51
$117
AK $457AL $61.66
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.