How much rates vary
Facilitymedian $245 · 10th to 90th $107 to $427Professionalmedian $138 · 10th to 90th $76 to $200
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 $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $204.17 | Professional | None (both parts) | $131.83 | $131.83 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $54.95 | Professional | 26 · Professional part | $32.36 | $32.36 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $154.88 | Professional | TC · Technical part | $100.00 | $100.00 | $154.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $43.65 Typical High $45.71 | Professional | 26 · Professional part | $39.81 | $43.65 | $45.71 |
BCBS South Carolina Setting Facility Modifier None Typical Low $102.33 Median $229.09 Typical High $354.81 | Facility | None | $102.33 | $229.09 | $354.81 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | TC · Technical part | $147.91 | $147.91 | $147.91 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $79.43 Median $138.04 Typical High $158.49 | Professional | None (both parts) | $79.43 | $138.04 | $158.49 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $58.88 Typical High $107.15 | Professional | 26 · Professional part | $39.81 | $58.88 | $107.15 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $30.90 Typical High $117.49 | Professional | TC · Technical part | $20.89 | $30.90 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $323.59 Typical High $794.33 | Facility | None | $245.47 | $323.59 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $83.18 Typical High $177.83 | Professional | None (both parts) | $61.66 | $83.18 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $27.54 Typical High $95.50 | Professional | 26 · Professional part | $22.39 | $27.54 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $53.70 Typical High $107.15 | Professional | TC · Technical part | $28.84 | $53.70 | $107.15 |
Medcost Setting Facility Modifier None Typical Low $109.65 Median $199.53 Typical High $467.74 | Facility | None | $109.65 | $199.53 | $467.74 |
Medcost Setting Professional Modifier None (both parts) Typical Low $100.00 Median $186.21 Typical High $218.78 | Professional | None (both parts) | $100.00 | $186.21 | $218.78 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $77.62 Typical High $83.18 | Professional | 26 · Professional part | $60.26 | $77.62 | $83.18 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $223.87 | Professional | TC · Technical part | $109.65 | $109.65 | $223.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $38.02 Median $154.88 Typical High $199.53 | Professional | None (both parts) | $38.02 | $154.88 | $199.53 |
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 $95.50 Median $138.04 Typical High $295.12 | Professional | None (both parts) | $95.50 | $138.04 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $44.67 Typical High $109.65 | Professional | 26 · Professional part | $26.30 | $44.67 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $85.11 Typical High $186.21 | Professional | TC · Technical part | $61.66 | $85.11 | $186.21 |
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 $66.07 Median $66.07 Typical High $69.18 | Professional | 52 · Reduced service | $66.07 | $66.07 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $27.54 | Professional | 53 · Discontinued | $26.30 | $26.30 | $27.54 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $50.12 Median $93.33 Typical High $125.89 | Professional | 51 · Multiple procedures | $50.12 | $93.33 | $125.89 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $20.42 Median $38.02 Typical High $50.12 | Professional | 80 · Assistant surgeon | $20.42 | $38.02 | $50.12 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $14.13 Median $26.30 Typical High $35.48 | Professional | 81 · Minimal assistant surgeon | $14.13 | $26.30 | $35.48 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $14.13 Median $26.30 Typical High $35.48 | Professional | 82 · Assistant surgeon, no resident | $14.13 | $26.30 | $35.48 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $14.13 Median $26.30 Typical High $35.48 | Professional | AS · PA/NP assist | $14.13 | $26.30 | $35.48 |
Where South Carolina sits
The same service costs 4.9 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· 43rd of 51
$145
AK $468AL $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.