How much rates vary
Facilitymedian $195 · 10th to 90th $89 to $589Professionalmedian $102 · 10th to 90th $36 to $155
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $93.33 | Professional | None (both parts) | $89.13 | $89.13 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $27.54 | Professional | 26 · Professional part | $24.55 | $24.55 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $64.57 Typical High $66.07 | Professional | TC · Technical part | $63.10 | $64.57 | $66.07 |
BCBS South Carolina Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $575.44 | Facility | None | $562.34 | $562.34 | $575.44 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $117.49 Median $120.23 Typical High $151.36 | Professional | None (both parts) | $117.49 | $120.23 | $151.36 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $44.67 Typical High $57.54 | Professional | 26 · Professional part | $31.62 | $44.67 | $57.54 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $89.13 Typical High $93.33 | Professional | TC · Technical part | $72.44 | $89.13 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $239.88 Typical High $588.84 | Facility | None | $177.83 | $239.88 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $36.31 Typical High $102.33 | Professional | None (both parts) | $34.67 | $36.31 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.88 Typical High $36.31 | Professional | 26 · Professional part | $12.30 | $12.88 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $23.44 Typical High $66.07 | Professional | TC · Technical part | $22.39 | $23.44 | $66.07 |
Medcost Setting Facility Modifier None Typical Low $89.13 Median $107.15 Typical High $338.84 | Facility | None | $89.13 | $107.15 | $338.84 |
Medcost Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $138.04 | Professional | None (both parts) | $102.33 | $102.33 | $138.04 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $54.95 | Professional | 26 · Professional part | $36.31 | $36.31 | $54.95 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $144.54 | Professional | TC · Technical part | $66.07 | $66.07 | $144.54 |
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 Professional Modifier None (both parts) Typical Low $61.66 Median $93.33 Typical High $186.21 | Professional | None (both parts) | $61.66 | $93.33 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $32.36 Typical High $66.07 | Professional | 26 · Professional part | $15.85 | $32.36 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $60.26 Typical High $131.83 | Professional | TC · Technical part | $42.66 | $60.26 | $131.83 |
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 $51.29 Median $51.29 Typical High $85.11 | Professional | 51 · Multiple procedures | $51.29 | $51.29 | $85.11 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $20.42 Median $20.42 Typical High $33.88 | Professional | 80 · Assistant surgeon | $20.42 | $20.42 | $33.88 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $14.45 Median $14.45 Typical High $23.99 | Professional | 81 · Minimal assistant surgeon | $14.45 | $14.45 | $23.99 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $14.45 Median $14.45 Typical High $23.99 | Professional | 82 · Assistant surgeon, no resident | $14.45 | $14.45 | $23.99 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $14.45 Median $14.45 Typical High $23.99 | Professional | AS · PA/NP assist | $14.45 | $14.45 | $23.99 |
Where South Carolina sits
The same service costs 4.6 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· 34th of 51
$105
AK $269AL $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.