How much rates vary
Facilitymedian $724 · 10th to 90th $295 to $1,096Professionalmedian $229 · 10th to 90th $91 to $372
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 $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $190.55 Typical High $199.53 | Professional | None (both parts) | $186.21 | $190.55 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $47.86 Typical High $48.98 | Professional | 26 · Professional part | $45.71 | $47.86 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $141.25 Typical High $151.36 | Professional | TC · Technical part | $138.04 | $141.25 | $151.36 |
BCBS South Carolina Setting Facility Modifier None Typical Low $309.03 Median $724.44 Typical High $1,096.48 | Facility | None | $309.03 | $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 $123.03 Median $229.09 Typical High $269.15 | Professional | None (both parts) | $123.03 | $229.09 | $269.15 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $67.61 Typical High $97.72 | Professional | 26 · Professional part | $44.67 | $67.61 | $97.72 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $181.97 Typical High $199.53 | Professional | TC · Technical part | $45.71 | $181.97 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $223.87 Typical High $363.08 | Professional | None (both parts) | $199.53 | $223.87 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $61.66 Typical High $91.20 | Professional | 26 · Professional part | $50.12 | $61.66 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $165.96 Typical High $269.15 | Professional | TC · Technical part | $151.36 | $165.96 | $269.15 |
Medcost Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Medcost Setting Facility Modifier None Typical Low $190.55 Median $208.93 Typical High $501.19 | Facility | None | $190.55 | $208.93 | $501.19 |
Medcost Setting Professional Modifier None (both parts) Typical Low $190.55 Median $234.42 Typical High $302.00 | Professional | None (both parts) | $190.55 | $234.42 | $302.00 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $102.33 | Professional | 26 · Professional part | $61.66 | $61.66 | $102.33 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $186.21 Typical High $338.84 | Professional | TC · Technical part | $131.83 | $186.21 | $338.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $77.62 Median $234.42 Typical High $389.05 | Professional | None (both parts) | $77.62 | $234.42 | $389.05 |
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 $186.21 Median $223.87 Typical High $346.74 | Professional | None (both parts) | $186.21 | $223.87 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $56.23 Typical High $87.10 | Professional | 26 · Professional part | $44.67 | $56.23 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $165.96 Typical High $257.04 | Professional | TC · Technical part | $141.25 | $165.96 | $257.04 |
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 $93.33 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $93.33 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $38.02 Typical High $38.90 | Professional | 53 · Discontinued | $37.15 | $38.02 | $38.90 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $95.50 Median $131.83 Typical High $199.53 | Professional | 51 · Multiple procedures | $95.50 | $131.83 | $199.53 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $38.90 Median $53.70 Typical High $79.43 | Professional | 80 · Assistant surgeon | $38.90 | $53.70 | $79.43 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $26.92 Median $37.15 Typical High $56.23 | Professional | 81 · Minimal assistant surgeon | $26.92 | $37.15 | $56.23 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $26.92 Median $37.15 Typical High $56.23 | Professional | 82 · Assistant surgeon, no resident | $26.92 | $37.15 | $56.23 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $26.92 Median $37.15 Typical High $56.23 | Professional | AS · PA/NP assist | $26.92 | $37.15 | $56.23 |
Where South Carolina sits
The same service costs 3.0 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· 38th of 51
$229
AK $513FL $174
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.