How much rates vary
Facilitymedian $309 · 10th to 90th $129 to $457Professionalmedian $83 · 10th to 90th $52 to $100
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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $83.18 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $43.65 | $46.77 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $40.74 Typical High $40.74 | Professional | TC · Technical part | $38.90 | $40.74 | $40.74 |
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 $52.48 Median $83.18 Typical High $87.10 | Professional | None (both parts) | $52.48 | $83.18 | $87.10 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $43.65 Typical High $44.67 | Professional | 26 · Professional part | $42.66 | $43.65 | $44.67 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $10.00 Median $39.81 Typical High $41.69 | Professional | TC · Technical part | $10.00 | $39.81 | $41.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $87.10 | Professional | None (both parts) | $66.07 | $66.07 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $47.86 | Professional | 26 · Professional part | $32.36 | $32.36 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.11 Typical High $38.90 | Professional | TC · Technical part | $33.11 | $33.11 | $38.90 |
Medcost Setting Facility Modifier None Typical Low $87.10 Median $93.33 Typical High $234.42 | Facility | None | $87.10 | $93.33 | $234.42 |
Medcost Setting Professional Modifier None (both parts) Typical Low $66.07 Median $91.20 Typical High $100.00 | Professional | None (both parts) | $66.07 | $91.20 | $100.00 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $42.66 Typical High $75.86 | Professional | 26 · Professional part | $41.69 | $42.66 | $75.86 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $39.81 Typical High $66.07 | Professional | TC · Technical part | $31.62 | $39.81 | $66.07 |
Molina Setting Professional Modifier None (both parts) Typical Low $38.02 Median $95.50 Typical High $169.82 | Professional | None (both parts) | $38.02 | $95.50 | $169.82 |
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 $57.54 Median $72.44 Typical High $89.13 | Professional | None (both parts) | $57.54 | $72.44 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.90 Typical High $47.86 | Professional | 26 · Professional part | $30.20 | $38.90 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $32.36 Typical High $43.65 | Professional | TC · Technical part | $26.30 | $32.36 | $43.65 |
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 $41.69 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $41.69 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $16.60 | $17.38 | $17.38 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $33.11 Median $45.71 Typical High $61.66 | Professional | 51 · Multiple procedures | $33.11 | $45.71 | $61.66 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $13.18 Median $18.20 Typical High $24.55 | Professional | 80 · Assistant surgeon | $13.18 | $18.20 | $24.55 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.12 Median $12.88 Typical High $17.38 | Professional | 81 · Minimal assistant surgeon | $9.12 | $12.88 | $17.38 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.12 Median $12.88 Typical High $17.38 | Professional | 82 · Assistant surgeon, no resident | $9.12 | $12.88 | $17.38 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $9.12 Median $12.88 Typical High $17.38 | Professional | AS · PA/NP assist | $9.12 | $12.88 | $17.38 |
Where South Carolina sits
The same service costs 3.7 times more in Alaska than in New Jersey. 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· 28th of 51
$83.18
AK $229NJ $61.66
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.