How much rates vary
Facilitymedian $89 · 10th to 90th $66 to $676Professionalmedian $66 · 10th to 90th $37 to $107
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $66.07 Typical High $70.79 | Professional | None (both parts) | $63.10 | $66.07 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $46.77 Typical High $48.98 | Professional | 26 · Professional part | $43.65 | $46.77 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $19.95 Typical High $21.88 | Professional | TC · Technical part | $18.62 | $19.95 | $21.88 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $63.10 | Professional | None (both parts) | $60.26 | $60.26 | $63.10 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $44.67 | Professional | 26 · Professional part | $41.69 | $41.69 | $44.67 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $17.78 Typical High $19.05 | Professional | TC · Technical part | $17.78 | $17.78 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $70.79 Typical High $125.89 | Professional | None (both parts) | $67.61 | $70.79 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $51.29 Typical High $87.10 | Professional | 26 · Professional part | $48.98 | $51.29 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $19.50 Typical High $37.15 | Professional | TC · Technical part | $18.62 | $19.50 | $37.15 |
Medcost Setting Facility Modifier None Typical Low $66.07 Median $72.44 Typical High $177.83 | Facility | None | $66.07 | $72.44 | $177.83 |
Medcost Setting Professional Modifier None (both parts) Typical Low $50.12 Median $74.13 Typical High $87.10 | Professional | None (both parts) | $50.12 | $74.13 | $87.10 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $53.70 Typical High $75.86 | Professional | 26 · Professional part | $42.66 | $53.70 | $75.86 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $20.42 Typical High $33.11 | Professional | TC · Technical part | $18.20 | $20.42 | $33.11 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $58.88 Typical High $112.20 | Professional | None (both parts) | $33.88 | $58.88 | $112.20 |
United Setting Facility Modifier None Typical Low $562.34 Median $676.08 Typical High $891.25 | Facility | None | $562.34 | $676.08 | $891.25 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $70.79 Typical High $109.65 | Professional | None (both parts) | $57.54 | $70.79 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $51.29 Typical High $79.43 | Professional | 26 · Professional part | $41.69 | $51.29 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $19.50 Typical High $30.90 | Professional | TC · Technical part | $15.85 | $19.50 | $30.90 |
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 $30.90 Median $33.11 Typical High $33.11 | Professional | 52 · Reduced service | $30.90 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $13.18 Typical High $13.18 | Professional | 53 · Discontinued | $12.59 | $13.18 | $13.18 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $25.12 Median $37.15 Typical High $57.54 | Professional | 51 · Multiple procedures | $25.12 | $37.15 | $57.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $10.00 Median $14.79 Typical High $22.91 | Professional | 80 · Assistant surgeon | $10.00 | $14.79 | $22.91 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.92 Median $10.23 Typical High $16.22 | Professional | 81 · Minimal assistant surgeon | $6.92 | $10.23 | $16.22 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.92 Median $10.23 Typical High $16.22 | Professional | 82 · Assistant surgeon, no resident | $6.92 | $10.23 | $16.22 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.92 Median $10.23 Typical High $16.22 | Professional | AS · PA/NP assist | $6.92 | $10.23 | $16.22 |
Where South Carolina sits
The same service costs 3.9 times more in Alaska than in Texas. 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· 35th of 51
$66.07
AK $170TX $43.65
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.