How much rates vary
Facilitymedian $302 · 10th to 90th $123 to $457Professionalmedian $47 · 10th to 90th $41 to $63
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 $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $46.77 Typical High $48.98 | Professional | None (both parts) | $44.67 | $46.77 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $21.38 Typical High $21.38 | Professional | 26 · Professional part | $20.42 | $21.38 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $25.70 Typical High $26.92 | Professional | TC · Technical part | $24.55 | $25.70 | $26.92 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $45.71 | Professional | None (both parts) | $44.67 | $44.67 | $45.71 |
BCBS South Carolina Setting Facility Modifier None Typical Low $141.25 Median $323.59 Typical High $467.74 | Facility | None | $141.25 | $323.59 | $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 $43.65 Median $44.67 Typical High $63.10 | Professional | None (both parts) | $43.65 | $44.67 | $63.10 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $33.88 Typical High $34.67 | Professional | 26 · Professional part | $19.95 | $33.88 | $34.67 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $8.91 Median $25.12 Typical High $29.51 | Professional | TC · Technical part | $8.91 | $25.12 | $29.51 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $51.29 Typical High $58.88 | Professional | None (both parts) | $50.12 | $51.29 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $22.39 | Professional | 26 · Professional part | $18.62 | $18.62 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $32.36 Typical High $38.02 | Professional | TC · Technical part | $26.92 | $32.36 | $38.02 |
Medcost Setting Facility Modifier None Typical Low $46.77 Median $54.95 Typical High $125.89 | Facility | None | $46.77 | $54.95 | $125.89 |
Medcost Setting Professional Modifier None (both parts) Typical Low $43.65 Median $58.88 Typical High $67.61 | Professional | None (both parts) | $43.65 | $58.88 | $67.61 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $25.12 Typical High $34.67 | Professional | 26 · Professional part | $22.91 | $25.12 | $34.67 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $38.90 Typical High $44.67 | Professional | TC · Technical part | $38.02 | $38.90 | $44.67 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.90 Median $47.86 Typical High $63.10 | Professional | None (both parts) | $30.90 | $47.86 | $63.10 |
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 $34.67 Median $43.65 Typical High $64.57 | Professional | None (both parts) | $34.67 | $43.65 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $19.05 Typical High $25.12 | Professional | 26 · Professional part | $15.14 | $19.05 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $23.99 Typical High $40.74 | Professional | TC · Technical part | $19.50 | $23.99 | $40.74 |
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 $22.39 Median $23.44 Typical High $23.44 | Professional | 52 · Reduced service | $22.39 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $9.33 Typical High $9.33 | Professional | 53 · Discontinued | $8.91 | $9.33 | $9.33 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $21.88 Median $29.51 Typical High $34.67 | Professional | 51 · Multiple procedures | $21.88 | $29.51 | $34.67 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.71 Median $11.75 Typical High $13.80 | Professional | 80 · Assistant surgeon | $8.71 | $11.75 | $13.80 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.17 Median $8.32 Typical High $9.55 | Professional | 81 · Minimal assistant surgeon | $6.17 | $8.32 | $9.55 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.17 Median $8.32 Typical High $9.55 | Professional | 82 · Assistant surgeon, no resident | $6.17 | $8.32 | $9.55 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.17 Median $8.32 Typical High $9.55 | Professional | AS · PA/NP assist | $6.17 | $8.32 | $9.55 |
Where South Carolina sits
The same service costs 3.4 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· 32nd of 51
$46.77
AK $123UT $36.31
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.