How much rates vary
Facilitymedian $724 · 10th to 90th $288 to $1,096Professionalmedian $151 · 10th to 90th $89 to $257
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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $138.04 Typical High $204.17 | Professional | None (both parts) | $120.23 | $138.04 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $43.65 Typical High $57.54 | Professional | 26 · Professional part | $40.74 | $43.65 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $93.33 Typical High $123.03 | Professional | TC · Technical part | $72.44 | $93.33 | $123.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $165.96 | Professional | None (both parts) | $151.36 | $151.36 | $165.96 |
BCBS South Carolina Setting Facility Modifier None Typical Low $302.00 Median $724.44 Typical High $1,096.48 | Facility | None | $302.00 | $724.44 | $1,096.48 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | TC · Technical part | $457.09 | $457.09 | $457.09 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $112.20 Median $151.36 Typical High $186.21 | Professional | None (both parts) | $112.20 | $151.36 | $186.21 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $51.29 Typical High $81.28 | Professional | 26 · Professional part | $40.74 | $51.29 | $81.28 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $112.20 Typical High $123.03 | Professional | TC · Technical part | $47.86 | $112.20 | $123.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $120.23 Typical High $234.42 | Professional | None (both parts) | $93.33 | $120.23 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $48.98 Typical High $79.43 | Professional | 26 · Professional part | $38.90 | $48.98 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $74.13 Typical High $154.88 | Professional | TC · Technical part | $50.12 | $74.13 | $154.88 |
Medcost Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None | $223.87 | $223.87 | $223.87 |
Medcost Setting Facility Modifier None Typical Low $125.89 Median $138.04 Typical High $436.52 | Facility | None | $125.89 | $138.04 | $436.52 |
Medcost Setting Professional Modifier None (both parts) Typical Low $120.23 Median $138.04 Typical High $263.03 | Professional | None (both parts) | $120.23 | $138.04 | $263.03 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $45.71 Typical High $97.72 | Professional | 26 · Professional part | $44.67 | $45.71 | $97.72 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $77.62 Typical High $162.18 | Professional | TC · Technical part | $75.86 | $77.62 | $162.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $77.62 Median $162.18 Typical High $275.42 | Professional | None (both parts) | $77.62 | $162.18 | $275.42 |
United Setting Facility Modifier None Typical Low $912.01 Median $1,096.48 Typical High $1,445.44 | Facility | None | $912.01 | $1,096.48 | $1,445.44 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $125.89 Typical High $194.98 | Professional | None (both parts) | $95.50 | $125.89 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $46.77 Typical High $72.44 | Professional | 26 · Professional part | $38.02 | $46.77 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $77.62 Typical High $125.89 | Professional | TC · Technical part | $56.23 | $77.62 | $125.89 |
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 $56.23 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $56.23 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $22.39 | $27.54 | $27.54 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $60.26 Median $69.18 Typical High $131.83 | Professional | 51 · Multiple procedures | $60.26 | $69.18 | $131.83 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $23.99 Median $27.54 Typical High $52.48 | Professional | 80 · Assistant surgeon | $23.99 | $27.54 | $52.48 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.98 Median $19.05 Typical High $37.15 | Professional | 81 · Minimal assistant surgeon | $16.98 | $19.05 | $37.15 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.98 Median $19.05 Typical High $37.15 | Professional | 82 · Assistant surgeon, no resident | $16.98 | $19.05 | $37.15 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $16.98 Median $19.05 Typical High $37.15 | Professional | AS · PA/NP assist | $16.98 | $19.05 | $37.15 |
Where South Carolina sits
The same service costs 3.2 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· 26th of 51
$151
AK $347NY $107
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.