How much rates vary
Facilitymedian $151 · 10th to 90th $91 to $447Professionalmedian $91 · 10th to 90th $60 to $245
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 $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $107.15 | Professional | None (both parts) | $91.20 | $91.20 | $107.15 |
BCBS South Carolina Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $707.95 | Facility | None | $676.08 | $676.08 | $707.95 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $117.49 | Professional | None (both parts) | $112.20 | $112.20 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $181.97 Typical High $446.68 | Facility | None | $138.04 | $181.97 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $72.44 Typical High $131.83 | Professional | None (both parts) | $63.10 | $72.44 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.88 Typical High $57.54 | Professional | 26 · Professional part | $27.54 | $33.88 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $38.90 Typical High $75.86 | Professional | TC · Technical part | $35.48 | $38.90 | $75.86 |
Medcost Setting Facility Modifier None Typical Low $91.20 Median $123.03 Typical High $338.84 | Facility | None | $91.20 | $123.03 | $338.84 |
Medcost Setting Professional Modifier None (both parts) Typical Low $138.04 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $138.04 | $245.47 | $245.47 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $109.65 | Professional | 26 · Professional part | $89.13 | $89.13 | $109.65 |
Medcost 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 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $75.86 Typical High $120.23 | Professional | None (both parts) | $33.11 | $75.86 | $120.23 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $138.04 Typical High $346.74 | Professional | None (both parts) | $75.86 | $138.04 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $57.54 Typical High $162.18 | Professional | 26 · Professional part | $33.11 | $57.54 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $79.43 Typical High $181.97 | Professional | TC · Technical part | $42.66 | $79.43 | $181.97 |
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 $87.10 Median $123.03 Typical High $123.03 | Professional | 51 · Multiple procedures | $87.10 | $123.03 | $123.03 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $34.67 Median $48.98 Typical High $50.12 | Professional | 80 · Assistant surgeon | $34.67 | $48.98 | $50.12 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $24.55 Median $34.67 Typical High $34.67 | Professional | 81 · Minimal assistant surgeon | $24.55 | $34.67 | $34.67 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $24.55 Median $34.67 Typical High $34.67 | Professional | 82 · Assistant surgeon, no resident | $24.55 | $34.67 | $34.67 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $24.55 Median $34.67 Typical High $34.67 | Professional | AS · PA/NP assist | $24.55 | $34.67 | $34.67 |
Where South Carolina sits
The same service costs 5.8 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
$105
AK $339AL $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.