How much rates vary
Facilitymedian $347 · 10th to 90th $145 to $1,023Professionalmedian $145 · 10th to 90th $89 to $331
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 $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $169.82 | Professional | None (both parts) | $144.54 | $144.54 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $17.78 Typical High $22.39 | Professional | 26 · Professional part | $17.78 | $17.78 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $141.25 | Professional | TC · Technical part | $128.82 | $128.82 | $141.25 |
BCBS South Carolina Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $794.33 | Facility | None | $776.25 | $776.25 | $794.33 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $89.13 Median $123.03 Typical High $173.78 | Professional | None (both parts) | $89.13 | $123.03 | $173.78 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $43.65 Typical High $44.67 | Professional | 26 · Professional part | $21.88 | $43.65 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $389.05 Typical High $1,023.29 | Facility | None | $316.23 | $389.05 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $97.72 Typical High $288.40 | Professional | None (both parts) | $75.86 | $97.72 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $25.70 Typical High $77.62 | Professional | 26 · Professional part | $12.59 | $25.70 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $70.79 Typical High $213.80 | Professional | TC · Technical part | $54.95 | $70.79 | $213.80 |
Medcost Setting Facility Modifier None Typical Low $144.54 Median $165.96 Typical High $537.03 | Facility | None | $144.54 | $165.96 | $537.03 |
Medcost Setting Professional Modifier None (both parts) Typical Low $194.98 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $194.98 | $331.13 | $331.13 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $39.81 | $67.61 | $67.61 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $288.40 | Professional | TC · Technical part | $186.21 | $186.21 | $288.40 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $162.18 Typical High $239.88 | Professional | None (both parts) | $33.11 | $162.18 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $181.97 Typical High $457.09 | Professional | None (both parts) | $100.00 | $181.97 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $32.36 Typical High $123.03 | Professional | 26 · Professional part | $15.14 | $32.36 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $158.49 Typical High $338.84 | Professional | TC · Technical part | $83.18 | $158.49 | $338.84 |
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 $109.65 Median $165.96 Typical High $165.96 | Professional | 51 · Multiple procedures | $109.65 | $165.96 | $165.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $43.65 Median $66.07 Typical High $66.07 | Professional | 80 · Assistant surgeon | $43.65 | $66.07 | $66.07 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $30.90 Median $45.71 Typical High $45.71 | Professional | 81 · Minimal assistant surgeon | $30.90 | $45.71 | $45.71 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $30.90 Median $45.71 Typical High $45.71 | Professional | 82 · Assistant surgeon, no resident | $30.90 | $45.71 | $45.71 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $30.90 Median $45.71 Typical High $45.71 | Professional | AS · PA/NP assist | $30.90 | $45.71 | $45.71 |
Where South Carolina sits
The same service costs 6.5 times more in North Dakota 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· 46th of 51
$158
ND $363AL $56.23
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.