How much rates vary
Facilitymedian $214 · 10th to 90th $102 to $398Professionalmedian $138 · 10th to 90th $74 to $240
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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $165.96 | Professional | None (both parts) | $104.71 | $104.71 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $48.98 | Professional | 26 · Professional part | $30.90 | $30.90 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $109.65 | Professional | TC · Technical part | $72.44 | $72.44 | $109.65 |
BCBS South Carolina Setting Facility Modifier None Typical Low $97.72 Median $190.55 Typical High $331.13 | Facility | None | $97.72 | $190.55 | $331.13 |
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 $138.04 Median $173.78 Typical High $223.87 | Professional | None (both parts) | $138.04 | $173.78 | $223.87 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $74.13 Typical High $95.50 | Professional | 26 · Professional part | $38.90 | $74.13 | $95.50 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $100.00 Typical High $128.82 | Professional | TC · Technical part | $97.72 | $100.00 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $309.03 Typical High $645.65 | Facility | None | $199.53 | $309.03 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $87.10 Typical High $263.03 | Professional | None (both parts) | $63.10 | $87.10 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $30.90 Typical High $112.20 | Professional | 26 · Professional part | $21.38 | $30.90 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $56.23 Typical High $147.91 | Professional | TC · Technical part | $38.90 | $56.23 | $147.91 |
Medcost Setting Facility Modifier None Typical Low $104.71 Median $257.04 Typical High $398.11 | Facility | None | $104.71 | $257.04 | $398.11 |
Medcost Setting Professional Modifier None (both parts) Typical Low $141.25 Median $158.49 Typical High $234.42 | Professional | None (both parts) | $141.25 | $158.49 | $234.42 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $85.11 Typical High $91.20 | Professional | 26 · Professional part | $69.18 | $85.11 | $91.20 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $144.54 Typical High $186.21 | Professional | TC · Technical part | $141.25 | $144.54 | $186.21 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $107.15 Typical High $162.18 | Professional | None (both parts) | $33.11 | $107.15 | $162.18 |
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 $75.86 Median $134.90 Typical High $363.08 | Professional | None (both parts) | $75.86 | $134.90 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $43.65 Typical High $158.49 | Professional | 26 · Professional part | $24.55 | $43.65 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $91.20 Typical High $213.80 | Professional | TC · Technical part | $50.12 | $91.20 | $213.80 |
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 $70.79 Median $100.00 Typical High $123.03 | Professional | 51 · Multiple procedures | $70.79 | $100.00 | $123.03 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $28.84 Median $39.81 Typical High $48.98 | Professional | 80 · Assistant surgeon | $28.84 | $39.81 | $48.98 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $19.95 Median $28.18 Typical High $34.67 | Professional | 81 · Minimal assistant surgeon | $19.95 | $28.18 | $34.67 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $19.95 Median $28.18 Typical High $34.67 | Professional | 82 · Assistant surgeon, no resident | $19.95 | $28.18 | $34.67 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $19.95 Median $28.18 Typical High $34.67 | Professional | AS · PA/NP assist | $19.95 | $28.18 | $34.67 |
Where South Carolina sits
The same service costs 5.4 times more in Wisconsin 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· 34th of 51
$151
WI $316AL $58.88
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.