How much rates vary
Facilitymedian $525 · 10th to 90th $148 to $759Professionalmedian $112 · 10th to 90th $81 to $191
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 $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $104.71 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $74.13 | $79.43 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $30.90 Typical High $31.62 | Professional | TC · Technical part | $29.51 | $30.90 | $31.62 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $114.82 | Professional | None (both parts) | $93.33 | $93.33 | $114.82 |
BCBS South Carolina Setting Facility Modifier None Typical Low $234.42 Median $549.54 Typical High $758.58 | Facility | None | $234.42 | $549.54 | $758.58 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | TC · Technical part | $323.59 | $323.59 | $323.59 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $100.00 Median $162.18 Typical High $190.55 | Professional | None (both parts) | $100.00 | $162.18 | $190.55 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $81.28 Typical High $120.23 | Professional | 26 · Professional part | $72.44 | $81.28 | $120.23 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $40.74 Typical High $107.15 | Professional | TC · Technical part | $26.92 | $40.74 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $112.20 | Professional | None (both parts) | $81.28 | $81.28 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $87.10 | Professional | 26 · Professional part | $67.61 | $67.61 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $13.49 Typical High $25.12 | Professional | TC · Technical part | $13.49 | $13.49 | $25.12 |
Medcost Setting Facility Modifier None Typical Low $104.71 Median $114.82 Typical High $295.12 | Facility | None | $104.71 | $114.82 | $295.12 |
Medcost Setting Professional Modifier None (both parts) Typical Low $97.72 Median $107.15 Typical High $125.89 | Professional | None (both parts) | $97.72 | $107.15 | $125.89 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $89.13 Typical High $131.83 | Professional | 26 · Professional part | $81.28 | $89.13 | $131.83 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $17.78 Typical High $51.29 | Professional | TC · Technical part | $16.22 | $17.78 | $51.29 |
Molina Setting Professional Modifier None (both parts) Typical Low $38.90 Median $95.50 Typical High $169.82 | Professional | None (both parts) | $38.90 | $95.50 | $169.82 |
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 $81.28 Median $93.33 Typical High $112.20 | Professional | None (both parts) | $81.28 | $93.33 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $74.13 Typical High $89.13 | Professional | 26 · Professional part | $61.66 | $74.13 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $21.38 Typical High $27.54 | Professional | TC · Technical part | $14.79 | $21.38 | $27.54 |
5 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $48.98 Median $53.70 Typical High $77.62 | Professional | 51 · Multiple procedures | $48.98 | $53.70 | $77.62 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $19.50 Median $21.38 Typical High $30.90 | Professional | 80 · Assistant surgeon | $19.50 | $21.38 | $30.90 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $13.80 Median $14.79 Typical High $21.88 | Professional | 81 · Minimal assistant surgeon | $13.80 | $14.79 | $21.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $13.80 Median $14.79 Typical High $21.88 | Professional | 82 · Assistant surgeon, no resident | $13.80 | $14.79 | $21.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $13.80 Median $14.79 Typical High $21.88 | Professional | AS · PA/NP assist | $13.80 | $14.79 | $21.88 |
Where South Carolina sits
The same service costs 3.3 times more in Alaska than in Utah. 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· 23rd of 51
$112
AK $234UT $70.79
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.