How much rates vary
Facilitymedian $316 · 10th to 90th $123 to $468Professionalmedian $50 · 10th to 90th $31 to $78
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 $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $54.95 | Professional | None (both parts) | $45.71 | $45.71 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $11.75 Typical High $12.88 | Professional | 26 · Professional part | $8.51 | $11.75 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $43.65 Typical High $52.48 | Professional | TC · Technical part | $31.62 | $43.65 | $52.48 |
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 $30.90 Median $38.90 Typical High $77.62 | Professional | None (both parts) | $30.90 | $38.90 | $77.62 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | 26 · Professional part | $13.49 | $13.49 | $13.49 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | TC · Technical part | $17.78 | $17.78 | $17.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $64.57 | Professional | None (both parts) | $58.88 | $58.88 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $9.77 Typical High $13.80 | Professional | 26 · Professional part | $9.77 | $9.77 | $13.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $48.98 Typical High $48.98 | Professional | TC · Technical part | $46.77 | $48.98 | $48.98 |
Medcost Setting Facility Modifier None Typical Low $45.71 Median $61.66 Typical High $97.72 | Facility | None | $45.71 | $61.66 | $97.72 |
Medcost Setting Professional Modifier None (both parts) Typical Low $41.69 Median $56.23 Typical High $91.20 | Professional | None (both parts) | $41.69 | $56.23 | $91.20 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.88 Typical High $29.51 | Professional | 26 · Professional part | $12.30 | $12.88 | $29.51 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $58.88 Typical High $58.88 | Professional | TC · Technical part | $43.65 | $58.88 | $58.88 |
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 $1,862.09 Median $2,290.87 Typical High $2,951.21 | Facility | None | $1,862.09 | $2,290.87 | $2,951.21 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $51.29 Typical High $63.10 | Professional | None (both parts) | $42.66 | $51.29 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.96 Typical High $12.88 | Professional | 26 · Professional part | $8.13 | $10.96 | $12.88 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $40.74 Typical High $52.48 | Professional | TC · Technical part | $33.11 | $40.74 | $52.48 |
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 $22.91 Median $22.91 Typical High $27.54 | Professional | 52 · Reduced service | $22.91 | $22.91 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $10.96 | Professional | 53 · Discontinued | $9.12 | $9.12 | $10.96 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $20.89 Median $31.62 Typical High $45.71 | Professional | 51 · Multiple procedures | $20.89 | $31.62 | $45.71 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.32 Median $12.59 Typical High $18.20 | Professional | 80 · Assistant surgeon | $8.32 | $12.59 | $18.20 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.89 Median $8.91 Typical High $12.88 | Professional | 81 · Minimal assistant surgeon | $5.89 | $8.91 | $12.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.89 Median $8.91 Typical High $12.88 | Professional | 82 · Assistant surgeon, no resident | $5.89 | $8.91 | $12.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.89 Median $8.91 Typical High $12.88 | Professional | AS · PA/NP assist | $5.89 | $8.91 | $12.88 |
Where South Carolina sits
The same service costs 3.3 times more in Alaska than in Ohio. 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· 31st of 51
$51.29
AK $110OH $33.11
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.