How much rates vary
Facilitymedian $178 · 10th to 90th $87 to $355Professionalmedian $107 · 10th to 90th $62 to $224
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 $87.10 Typical High $213.80 | Facility | None | $87.10 | $87.10 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $138.04 | Professional | None (both parts) | $87.10 | $87.10 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $54.95 | Professional | 26 · Professional part | $33.11 | $33.11 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $85.11 | Professional | TC · Technical part | $53.70 | $53.70 | $85.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $43.65 Typical High $45.71 | Professional | 26 · Professional part | $19.95 | $43.65 | $45.71 |
BCBS South Carolina Setting Facility Modifier None Typical Low $81.28 Median $177.83 Typical High $323.59 | Facility | None | $81.28 | $177.83 | $323.59 |
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 $107.15 Median $154.88 Typical High $162.18 | Professional | None (both parts) | $107.15 | $154.88 | $162.18 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $63.10 Typical High $64.57 | Professional | 26 · Professional part | $39.81 | $63.10 | $64.57 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $93.33 Typical High $95.50 | Professional | TC · Technical part | $69.18 | $93.33 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $181.97 Typical High $446.68 | Facility | None | $134.90 | $181.97 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $70.79 Typical High $223.87 | Professional | None (both parts) | $61.66 | $70.79 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.92 Typical High $95.50 | Professional | 26 · Professional part | $22.91 | $26.92 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $43.65 Typical High $131.83 | Professional | TC · Technical part | $38.02 | $43.65 | $131.83 |
Medcost Setting Facility Modifier None Typical Low $87.10 Median $173.78 Typical High $323.59 | Facility | None | $87.10 | $173.78 | $323.59 |
Medcost Setting Professional Modifier None (both parts) Typical Low $134.90 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $134.90 | $213.80 | $213.80 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $74.13 | $85.11 | $85.11 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $147.91 Typical High $147.91 | Professional | TC · Technical part | $120.23 | $147.91 | $147.91 |
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 Facility Modifier None Typical Low $1,513.56 Median $1,819.70 Typical High $2,398.83 | Facility | None | $1,513.56 | $1,819.70 | $2,398.83 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $128.82 Typical High $338.84 | Professional | None (both parts) | $72.44 | $128.82 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $46.77 Typical High $134.90 | Professional | 26 · Professional part | $26.92 | $46.77 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $83.18 Typical High $208.93 | Professional | TC · Technical part | $44.67 | $83.18 | $208.93 |
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 $83.18 Median $107.15 Typical High $123.03 | Professional | 51 · Multiple procedures | $83.18 | $107.15 | $123.03 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $33.11 Median $42.66 Typical High $48.98 | Professional | 80 · Assistant surgeon | $33.11 | $42.66 | $48.98 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $23.44 Median $29.51 Typical High $34.67 | Professional | 81 · Minimal assistant surgeon | $23.44 | $29.51 | $34.67 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $23.44 Median $29.51 Typical High $34.67 | Professional | 82 · Assistant surgeon, no resident | $23.44 | $29.51 | $34.67 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $23.44 Median $29.51 Typical High $34.67 | Professional | AS · PA/NP assist | $23.44 | $29.51 | $34.67 |
Where South Carolina sits
The same service costs 4.5 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· 27th of 51
$135
AK $316AL $70.79
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.