How much rates vary
Facilitymedian $200 · 10th to 90th $50 to $398Professionalmedian $42 · 10th to 90th $31 to $60
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 $30.90 Median $30.90 Typical High $50.12 | Facility | None | $30.90 | $30.90 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $30.90 Typical High $46.77 | Professional | None (both parts) | $29.51 | $30.90 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.96 Typical High $17.38 | Professional | 26 · Professional part | $10.47 | $10.96 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $19.50 Typical High $30.20 | Professional | TC · Technical part | $19.50 | $19.50 | $30.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None (both parts) | $48.98 | $48.98 | $48.98 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $16.60 Typical High $19.50 | Professional | 26 · Professional part | $11.75 | $16.60 | $19.50 |
BCBS South Carolina Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $398.11 | Facility | None | $199.53 | $199.53 | $398.11 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $31.62 Median $42.66 Typical High $56.23 | Professional | None (both parts) | $31.62 | $42.66 | $56.23 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $15.85 Typical High $20.89 | Professional | 26 · Professional part | $10.72 | $15.85 | $20.89 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $26.92 Typical High $34.67 | Professional | TC · Technical part | $20.89 | $26.92 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $38.90 Typical High $58.88 | Professional | None (both parts) | $35.48 | $38.90 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $15.49 Typical High $22.39 | Professional | 26 · Professional part | $14.45 | $15.49 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $22.91 Typical High $37.15 | Professional | TC · Technical part | $20.42 | $22.91 | $37.15 |
Medcost Setting Facility Modifier None Typical Low $30.90 Median $33.88 Typical High $81.28 | Facility | None | $30.90 | $33.88 | $81.28 |
Medcost Setting Professional Modifier None (both parts) Typical Low $33.88 Median $40.74 Typical High $57.54 | Professional | None (both parts) | $33.88 | $40.74 | $57.54 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $16.98 Typical High $30.90 | Professional | 26 · Professional part | $16.98 | $16.98 | $30.90 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $23.44 Typical High $54.95 | Professional | TC · Technical part | $23.44 | $23.44 | $54.95 |
Molina Setting Professional Modifier None (both parts) Typical Low $32.36 Median $43.65 Typical High $61.66 | Professional | None (both parts) | $32.36 | $43.65 | $61.66 |
United Setting Facility Modifier None Typical Low $537.03 Median $660.69 Typical High $851.14 | Facility | None | $537.03 | $660.69 | $851.14 |
United Setting Professional Modifier None (both parts) Typical Low $30.90 Median $39.81 Typical High $64.57 | Professional | None (both parts) | $30.90 | $39.81 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $15.49 Typical High $25.70 | Professional | 26 · Professional part | $12.30 | $15.49 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $23.99 Typical High $37.15 | Professional | TC · Technical part | $19.05 | $23.99 | $37.15 |
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 $14.79 Median $15.14 Typical High $15.49 | Professional | 52 · Reduced service | $14.79 | $15.14 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $6.17 Typical High $6.17 | Professional | 53 · Discontinued | $5.89 | $6.17 | $6.17 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $20.42 Median $20.42 Typical High $44.67 | Professional | 51 · Multiple procedures | $20.42 | $20.42 | $44.67 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.13 Median $8.13 Typical High $18.20 | Professional | 80 · Assistant surgeon | $8.13 | $8.13 | $18.20 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.62 Median $5.62 Typical High $12.59 | Professional | 81 · Minimal assistant surgeon | $5.62 | $5.62 | $12.59 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.62 Median $5.62 Typical High $12.59 | Professional | 82 · Assistant surgeon, no resident | $5.62 | $5.62 | $12.59 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.62 Median $5.62 Typical High $12.59 | Professional | AS · PA/NP assist | $5.62 | $5.62 | $12.59 |
Where South Carolina sits
The same service costs 2.7 times more in Alaska than in Florida. 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· 20th of 51
$42.66
AK $83.18FL $30.90
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.