How much rates vary
Facilitymedian $912 · 10th to 90th $832 to $4,786Professionalmedian $977 · 10th to 90th $135 to $1,660
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 $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $912.01 Typical High $912.01 | Professional | None (both parts) | $870.96 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $120.23 | $125.89 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $776.25 Typical High $776.25 | Professional | TC · Technical part | $741.31 | $776.25 | $776.25 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $912.01 Median $912.01 Typical High $1,174.90 | Professional | None (both parts) | $912.01 | $912.01 | $1,174.90 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $123.03 Typical High $158.49 | Professional | 26 · Professional part | $123.03 | $123.03 | $158.49 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $794.33 Typical High $1,023.29 | Professional | TC · Technical part | $794.33 | $794.33 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,047.13 Typical High $1,621.81 | Professional | None (both parts) | $977.24 | $1,047.13 | $1,621.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $134.90 Typical High $223.87 | Professional | 26 · Professional part | $128.82 | $134.90 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $912.01 Typical High $1,412.54 | Professional | TC · Technical part | $831.76 | $912.01 | $1,412.54 |
Medcost Setting Facility Modifier None Typical Low $912.01 Median $1,000.00 Typical High $2,344.23 | Facility | None | $912.01 | $1,000.00 | $2,344.23 |
Medcost Setting Professional Modifier None (both parts) Typical Low $954.99 Median $954.99 Typical High $1,445.44 | Professional | None (both parts) | $954.99 | $954.99 | $1,445.44 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $131.83 Typical High $269.15 | Professional | 26 · Professional part | $131.83 | $131.83 | $269.15 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $812.83 Typical High $1,659.59 | Professional | TC · Technical part | $812.83 | $812.83 | $1,659.59 |
Molina Setting Professional Modifier None (both parts) Typical Low $123.03 Median $1,023.29 Typical High $1,698.24 | Professional | None (both parts) | $123.03 | $1,023.29 | $1,698.24 |
United Setting Facility Modifier None Typical Low $3,890.45 Median $4,786.30 Typical High $6,165.95 | Facility | None | $3,890.45 | $4,786.30 | $6,165.95 |
United Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,071.52 Typical High $1,659.59 | Professional | None (both parts) | $891.25 | $1,071.52 | $1,659.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $141.25 Typical High $229.09 | Professional | 26 · Professional part | $117.49 | $141.25 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $933.25 Typical High $1,479.11 | Professional | TC · Technical part | $758.58 | $933.25 | $1,479.11 |
7 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $426.58 Median $457.09 Typical High $457.09 | Professional | 52 · Reduced service | $426.58 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $181.97 Typical High $181.97 | Professional | 53 · Discontinued | $173.78 | $181.97 | $181.97 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $467.74 Median $467.74 Typical High $1,318.26 | Professional | 51 · Multiple procedures | $467.74 | $467.74 | $1,318.26 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $190.55 Median $190.55 Typical High $524.81 | Professional | 80 · Assistant surgeon | $190.55 | $190.55 | $524.81 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $131.83 Median $131.83 Typical High $363.08 | Professional | 81 · Minimal assistant surgeon | $131.83 | $131.83 | $363.08 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $131.83 Median $131.83 Typical High $363.08 | Professional | 82 · Assistant surgeon, no resident | $131.83 | $131.83 | $363.08 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $131.83 Median $131.83 Typical High $363.08 | Professional | AS · PA/NP assist | $131.83 | $131.83 | $363.08 |
Where South Carolina sits
The same service costs 3.2 times more in Alaska than in Utah. 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· 41st of 51
$977
AK $2,455UT $759
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.