How much rates vary
Facilitymedian $83 · 10th to 90th $50 to $245Professionalmedian $60 · 10th to 90th $30 to $138
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 $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $53.70 | Professional | None (both parts) | $50.12 | $50.12 | $53.70 |
BCBS South Carolina Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $389.05 | Facility | None | $380.19 | $380.19 | $389.05 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $60.26 Median $107.15 Typical High $138.04 | Professional | None (both parts) | $60.26 | $107.15 | $138.04 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $40.74 Typical High $52.48 | Professional | 26 · Professional part | $23.44 | $40.74 | $52.48 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $66.07 Typical High $85.11 | Professional | TC · Technical part | $36.31 | $66.07 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $102.33 Typical High $245.47 | Facility | None | $75.86 | $102.33 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $29.51 Typical High $85.11 | Professional | None (both parts) | $28.84 | $29.51 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.96 Typical High $30.90 | Professional | 26 · Professional part | $10.23 | $10.96 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $18.62 Typical High $53.70 | Professional | TC · Technical part | $18.20 | $18.62 | $53.70 |
Medcost Setting Facility Modifier None Typical Low $50.12 Median $60.26 Typical High $181.97 | Facility | None | $50.12 | $60.26 | $181.97 |
Medcost Setting Professional Modifier None (both parts) Typical Low $77.62 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $77.62 | $85.11 | $85.11 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $42.66 | Professional | 26 · Professional part | $30.90 | $30.90 | $42.66 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $70.79 | Professional | TC · Technical part | $53.70 | $53.70 | $70.79 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.30 Median $42.66 Typical High $81.28 | Professional | None (both parts) | $26.30 | $42.66 | $81.28 |
United Setting Professional Modifier None (both parts) Typical Low $33.88 Median $69.18 Typical High $147.91 | Professional | None (both parts) | $33.88 | $69.18 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $26.92 Typical High $54.95 | Professional | 26 · Professional part | $12.30 | $26.92 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $42.66 Typical High $95.50 | Professional | TC · Technical part | $21.38 | $42.66 | $95.50 |
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 $42.66 Median $42.66 Typical High $48.98 | Professional | 51 · Multiple procedures | $42.66 | $42.66 | $48.98 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $16.98 Median $16.98 Typical High $19.50 | Professional | 80 · Assistant surgeon | $16.98 | $16.98 | $19.50 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $11.75 Median $11.75 Typical High $13.49 | Professional | 81 · Minimal assistant surgeon | $11.75 | $11.75 | $13.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $11.75 Median $11.75 Typical High $13.49 | Professional | 82 · Assistant surgeon, no resident | $11.75 | $11.75 | $13.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $11.75 Median $11.75 Typical High $13.49 | Professional | AS · PA/NP assist | $11.75 | $11.75 | $13.49 |
Where South Carolina sits
The same service costs 4.4 times more in Alaska than in Texas. 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
$63.10
AK $182TX $41.69
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.