How much rates vary
Facilitymedian $245 · 10th to 90th $129 to $490Professionalmedian $182 · 10th to 90th $107 to $302
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 $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $87.10 | Professional | 26 · Professional part | $81.28 | $81.28 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | TC · Technical part | $85.11 | $85.11 | $85.11 |
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 $181.97 Median $194.98 Typical High $275.42 | Professional | None (both parts) | $181.97 | $194.98 | $275.42 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $123.03 Typical High $128.82 | Professional | 26 · Professional part | $102.33 | $123.03 | $128.82 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $112.20 | Professional | TC · Technical part | $104.71 | $104.71 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $302.00 Typical High $741.31 | Facility | None | $223.87 | $302.00 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $123.03 Typical High $338.84 | Professional | None (both parts) | $109.65 | $123.03 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $54.95 Typical High $162.18 | Professional | 26 · Professional part | $50.12 | $54.95 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $70.79 Typical High $181.97 | Professional | TC · Technical part | $53.70 | $70.79 | $181.97 |
Medcost Setting Facility Modifier None Typical Low $169.82 Median $229.09 Typical High $616.60 | Facility | None | $169.82 | $229.09 | $616.60 |
Medcost Setting Professional Modifier None (both parts) Typical Low $239.88 Median $309.03 Typical High $398.11 | Professional | None (both parts) | $239.88 | $309.03 | $398.11 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $186.21 Typical High $194.98 | Professional | 26 · Professional part | $112.20 | $186.21 | $194.98 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $229.09 Typical High $245.47 | Professional | TC · Technical part | $194.98 | $229.09 | $245.47 |
Molina Setting Professional Modifier None (both parts) Typical Low $93.33 Median $120.23 Typical High $239.88 | Professional | None (both parts) | $93.33 | $120.23 | $239.88 |
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 $131.83 Median $218.78 Typical High $467.74 | Professional | None (both parts) | $131.83 | $218.78 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $102.33 Typical High $234.42 | Professional | 26 · Professional part | $63.10 | $102.33 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $104.71 Typical High $263.03 | Professional | TC · Technical part | $61.66 | $104.71 | $263.03 |
7 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $83.18 Typical High $85.11 | Professional | 52 · Reduced service | $83.18 | $83.18 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $33.88 | $33.88 | $33.88 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $120.23 Median $162.18 Typical High $194.98 | Professional | 51 · Multiple procedures | $120.23 | $162.18 | $194.98 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $47.86 Median $64.57 Typical High $79.43 | Professional | 80 · Assistant surgeon | $47.86 | $64.57 | $79.43 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $33.88 Median $45.71 Typical High $54.95 | Professional | 81 · Minimal assistant surgeon | $33.88 | $45.71 | $54.95 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $33.88 Median $45.71 Typical High $54.95 | Professional | 82 · Assistant surgeon, no resident | $33.88 | $45.71 | $54.95 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $33.88 Median $45.71 Typical High $54.95 | Professional | AS · PA/NP assist | $33.88 | $45.71 | $54.95 |
Where South Carolina sits
The same service costs 6.9 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
$195
AK $933AL $135
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.