How much rates vary
Facilitymedian $309 · 10th to 90th $129 to $457Professionalmedian $60 · 10th to 90th $42 to $91
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 $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $60.26 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $35.48 | $38.02 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $26.30 Typical High $26.30 | Professional | TC · Technical part | $24.55 | $26.30 | $26.30 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $112.20 | Professional | None (both parts) | $56.23 | $56.23 | $112.20 |
BCBS South Carolina Setting Facility Modifier None Typical Low $147.91 Median $331.13 Typical High $467.74 | Facility | None | $147.91 | $331.13 | $467.74 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | TC · Technical part | $199.53 | $199.53 | $199.53 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $41.69 Median $60.26 Typical High $91.20 | Professional | None (both parts) | $41.69 | $60.26 | $91.20 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $34.67 Typical High $46.77 | Professional | 26 · Professional part | $33.88 | $34.67 | $46.77 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $7.94 Median $25.70 Typical High $44.67 | Professional | TC · Technical part | $7.94 | $25.70 | $44.67 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $63.10 | Professional | None (both parts) | $42.66 | $42.66 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $38.90 | Professional | 26 · Professional part | $28.84 | $28.84 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $14.13 Typical High $26.30 | Professional | TC · Technical part | $14.13 | $14.13 | $26.30 |
Medcost Setting Facility Modifier None Typical Low $50.12 Median $70.79 Typical High $173.78 | Facility | None | $50.12 | $70.79 | $173.78 |
Medcost Setting Professional Modifier None (both parts) Typical Low $47.86 Median $56.23 Typical High $72.44 | Professional | None (both parts) | $47.86 | $56.23 | $72.44 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.02 Typical High $61.66 | Professional | 26 · Professional part | $36.31 | $38.02 | $61.66 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $16.98 Typical High $42.66 | Professional | TC · Technical part | $16.98 | $16.98 | $42.66 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $60.26 Typical High $120.23 | Professional | None (both parts) | $33.11 | $60.26 | $120.23 |
United Setting Facility Modifier None Typical Low $245.47 Median $302.00 Typical High $389.05 | Facility | None | $245.47 | $302.00 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $52.48 Typical High $64.57 | Professional | None (both parts) | $40.74 | $52.48 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $33.11 Typical High $40.74 | Professional | 26 · Professional part | $25.12 | $33.11 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $19.95 Typical High $25.70 | Professional | TC · Technical part | $15.14 | $19.95 | $25.70 |
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 $30.20 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $30.20 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $12.02 | $12.88 | $12.88 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $23.99 Median $28.18 Typical High $44.67 | Professional | 51 · Multiple procedures | $23.99 | $28.18 | $44.67 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $9.55 Median $11.22 Typical High $17.78 | Professional | 80 · Assistant surgeon | $9.55 | $11.22 | $17.78 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.76 Median $7.76 Typical High $12.59 | Professional | 81 · Minimal assistant surgeon | $6.76 | $7.76 | $12.59 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.76 Median $7.76 Typical High $12.59 | Professional | 82 · Assistant surgeon, no resident | $6.76 | $7.76 | $12.59 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.76 Median $7.76 Typical High $12.59 | Professional | AS · PA/NP assist | $6.76 | $7.76 | $12.59 |
Where South Carolina sits
The same service costs 3.7 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· 33rd of 51
$60.26
AK $170FL $45.71
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.