How much rates vary
Facilitymedian $224 · 10th to 90th $102 to $871Professionalmedian $302 · 10th to 90th $105 to $468
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 $288.40 Median $354.81 Typical High $1,047.13 | Facility | None | $288.40 | $354.81 | $1,047.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $288.40 Typical High $436.52 | Professional | None (both parts) | $281.84 | $288.40 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $70.79 | Professional | 26 · Professional part | $47.86 | $47.86 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $239.88 Typical High $363.08 | Professional | TC · Technical part | $239.88 | $239.88 | $363.08 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $60.26 Typical High $66.07 | Professional | 26 · Professional part | $29.51 | $60.26 | $66.07 |
BCBS South Carolina Setting Facility Modifier None Typical Low $97.72 Median $199.53 Typical High $331.13 | Facility | None | $97.72 | $199.53 | $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 $338.84 Median $354.81 Typical High $436.52 | Professional | None (both parts) | $338.84 | $354.81 | $436.52 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $117.49 Typical High $151.36 | Professional | 26 · Professional part | $60.26 | $117.49 | $151.36 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $281.84 Typical High $302.00 | Professional | TC · Technical part | $223.87 | $281.84 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $794.33 Typical High $1,949.84 | Facility | None | $602.56 | $794.33 | $1,949.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $104.71 Typical High $302.00 | Professional | None (both parts) | $102.33 | $104.71 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $33.88 Typical High $95.50 | Professional | 26 · Professional part | $32.36 | $33.88 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $70.79 Typical High $204.17 | Professional | TC · Technical part | $69.18 | $70.79 | $204.17 |
Medcost Setting Facility Modifier None Typical Low $288.40 Median $346.74 Typical High $1,047.13 | Facility | None | $288.40 | $346.74 | $1,047.13 |
Medcost Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $436.52 | Professional | None (both parts) | $302.00 | $302.00 | $436.52 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $107.15 | Professional | 26 · Professional part | $95.50 | $95.50 | $107.15 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $537.03 | Professional | TC · Technical part | $204.17 | $204.17 | $537.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $309.03 Typical High $467.74 | Professional | None (both parts) | $33.11 | $309.03 | $467.74 |
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 $190.55 Median $288.40 Typical High $602.56 | Professional | None (both parts) | $190.55 | $288.40 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $67.61 Typical High $162.18 | Professional | 26 · Professional part | $37.15 | $67.61 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $223.87 Typical High $478.63 | Professional | TC · Technical part | $134.90 | $223.87 | $478.63 |
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 $147.91 Median $147.91 Typical High $275.42 | Professional | 51 · Multiple procedures | $147.91 | $147.91 | $275.42 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $60.26 Median $60.26 Typical High $109.65 | Professional | 80 · Assistant surgeon | $60.26 | $60.26 | $109.65 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $41.69 Median $41.69 Typical High $77.62 | Professional | 81 · Minimal assistant surgeon | $41.69 | $41.69 | $77.62 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $41.69 Median $41.69 Typical High $77.62 | Professional | 82 · Assistant surgeon, no resident | $41.69 | $41.69 | $77.62 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $41.69 Median $41.69 Typical High $77.62 | Professional | AS · PA/NP assist | $41.69 | $41.69 | $77.62 |
Where South Carolina sits
The same service costs 9.1 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· 45th of 51
$288
AK $891AL $97.72
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.