How much rates vary
Facilitymedian $3,388 · 10th to 90th $1,202 to $6,761Professionalmedian $912 · 10th to 90th $85 to $1,622
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 $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $851.14 Typical High $851.14 | Professional | None (both parts) | $794.33 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $46.77 Typical High $48.98 | Professional | 26 · Professional part | $44.67 | $46.77 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $794.33 Typical High $794.33 | Professional | TC · Technical part | $758.58 | $794.33 | $794.33 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,348.96 Median $3,090.30 Typical High $4,365.16 | Facility | None | $1,348.96 | $3,090.30 | $4,365.16 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | TC · Technical part | $1,659.59 | $1,659.59 | $1,659.59 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $1,230.27 | Professional | None (both parts) | $891.25 | $891.25 | $1,230.27 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $64.57 | Professional | 26 · Professional part | $46.77 | $46.77 | $64.57 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $831.76 Typical High $1,148.15 | Professional | TC · Technical part | $831.76 | $831.76 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $676.08 Median $794.33 Typical High $1,513.56 | Professional | None (both parts) | $676.08 | $794.33 | $1,513.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $57.54 Typical High $89.13 | Professional | 26 · Professional part | $48.98 | $57.54 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $741.31 Typical High $1,445.44 | Professional | TC · Technical part | $630.96 | $741.31 | $1,445.44 |
Medcost Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
Medcost Setting Facility Modifier None Typical Low $758.58 Median $891.25 Typical High $2,290.87 | Facility | None | $758.58 | $891.25 | $2,290.87 |
Medcost Setting Professional Modifier None (both parts) Typical Low $676.08 Median $1,122.02 Typical High $1,380.38 | Professional | None (both parts) | $676.08 | $1,122.02 | $1,380.38 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $87.10 Typical High $114.82 | Professional | 26 · Professional part | $56.23 | $87.10 | $114.82 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $794.33 Typical High $1,445.44 | Professional | TC · Technical part | $616.60 | $794.33 | $1,445.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $77.62 Median $1,023.29 Typical High $1,659.59 | Professional | None (both parts) | $77.62 | $1,023.29 | $1,659.59 |
United Setting Facility Modifier None Typical Low $3,019.95 Median $6,456.54 Typical High $9,772.37 | Facility | None | $3,019.95 | $6,456.54 | $9,772.37 |
United Setting Professional Modifier None (both parts) Typical Low $660.69 Median $891.25 Typical High $1,380.38 | Professional | None (both parts) | $660.69 | $891.25 | $1,380.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $58.88 Typical High $93.33 | Professional | 26 · Professional part | $47.86 | $58.88 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $831.76 Typical High $1,288.25 | Professional | TC · Technical part | $602.56 | $831.76 | $1,288.25 |
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 $338.84 Median $588.84 Typical High $812.83 | Professional | 51 · Multiple procedures | $338.84 | $588.84 | $812.83 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $134.90 Median $234.42 Typical High $331.13 | Professional | 80 · Assistant surgeon | $134.90 | $234.42 | $331.13 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $95.50 Median $162.18 Typical High $229.09 | Professional | 81 · Minimal assistant surgeon | $95.50 | $162.18 | $229.09 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $95.50 Median $162.18 Typical High $229.09 | Professional | 82 · Assistant surgeon, no resident | $95.50 | $162.18 | $229.09 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $95.50 Median $162.18 Typical High $229.09 | Professional | AS · PA/NP assist | $95.50 | $162.18 | $229.09 |
Where South Carolina sits
The same service costs 3.1 times more in Alaska than in New York. 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· 25th of 51
$955
AK $2,239NY $724
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.