How much rates vary
Facilitymedian $219 · 10th to 90th $91 to $324Professionalmedian $42 · 10th to 90th $26 to $56
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 $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $53.70 Typical High $53.70 | Professional | None (both parts) | $51.29 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.12 Typical High $9.12 | Professional | 26 · Professional part | $8.32 | $9.12 | $9.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $44.67 Typical High $44.67 | Professional | TC · Technical part | $42.66 | $44.67 | $44.67 |
BCBS South Carolina Setting Facility Modifier None Typical Low $102.33 Median $223.87 Typical High $323.59 | Facility | None | $102.33 | $223.87 | $323.59 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | TC · Technical part | $138.04 | $138.04 | $138.04 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $25.70 Median $40.74 Typical High $51.29 | Professional | None (both parts) | $25.70 | $40.74 | $51.29 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.72 Typical High $19.95 | Professional | 26 · Professional part | $8.51 | $10.72 | $19.95 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $5.01 Median $29.51 Typical High $42.66 | Professional | TC · Technical part | $5.01 | $29.51 | $42.66 |
Cigna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $31.62 Typical High $56.23 | Professional | None (both parts) | $31.62 | $31.62 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.08 Typical High $10.00 | Professional | 26 · Professional part | $7.08 | $7.08 | $10.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $24.55 Typical High $45.71 | Professional | TC · Technical part | $24.55 | $24.55 | $45.71 |
Medcost Setting Facility Modifier None Typical Low $34.67 Median $58.88 Typical High $144.54 | Facility | None | $34.67 | $58.88 | $144.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $36.31 Median $37.15 Typical High $60.26 | Professional | None (both parts) | $36.31 | $37.15 | $60.26 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.00 Typical High $14.79 | Professional | 26 · Professional part | $9.33 | $10.00 | $14.79 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $34.67 Typical High $72.44 | Professional | TC · Technical part | $29.51 | $34.67 | $72.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.90 Median $51.29 Typical High $66.07 | Professional | None (both parts) | $30.90 | $51.29 | $66.07 |
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 $30.20 Median $42.66 Typical High $53.70 | Professional | None (both parts) | $30.20 | $42.66 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $7.94 Typical High $9.77 | Professional | 26 · Professional part | $6.03 | $7.94 | $9.77 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $33.88 Typical High $44.67 | Professional | TC · Technical part | $26.30 | $33.88 | $44.67 |
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 $25.70 Median $26.92 Typical High $26.92 | Professional | 52 · Reduced service | $25.70 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $10.23 | $10.72 | $10.72 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $18.20 Median $18.62 Typical High $37.15 | Professional | 51 · Multiple procedures | $18.20 | $18.62 | $37.15 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.24 Median $7.41 Typical High $15.14 | Professional | 80 · Assistant surgeon | $7.24 | $7.41 | $15.14 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.01 Median $5.13 Typical High $10.47 | Professional | 81 · Minimal assistant surgeon | $5.01 | $5.13 | $10.47 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.01 Median $5.13 Typical High $10.47 | Professional | 82 · Assistant surgeon, no resident | $5.01 | $5.13 | $10.47 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.01 Median $5.13 Typical High $10.47 | Professional | AS · PA/NP assist | $5.01 | $5.13 | $10.47 |
Where South Carolina sits
The same service costs 3.5 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· 42nd of 51
$43.65
AK $135NJ $38.90
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.