How much rates vary
Facilitymedian $891 · 10th to 90th $339 to $1,318Professionalmedian $117 · 10th to 90th $66 to $200
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 $107.15 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $107.15 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $54.95 | $56.23 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $54.95 Typical High $54.95 | Professional | TC · Technical part | $51.29 | $54.95 | $54.95 |
BCBS South Carolina Setting Facility Modifier None Typical Low $398.11 Median $933.25 Typical High $1,258.93 | Facility | None | $398.11 | $933.25 | $1,258.93 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | TC · Technical part | $549.54 | $549.54 | $549.54 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $109.65 Median $177.83 Typical High $199.53 | Professional | None (both parts) | $109.65 | $177.83 | $199.53 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $75.86 Typical High $125.89 | Professional | 26 · Professional part | $52.48 | $75.86 | $125.89 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $56.23 Typical High $123.03 | Professional | TC · Technical part | $50.12 | $56.23 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $134.90 Typical High $181.97 | Professional | None (both parts) | $114.82 | $134.90 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $72.44 Typical High $93.33 | Professional | 26 · Professional part | $63.10 | $72.44 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $64.57 Typical High $89.13 | Professional | TC · Technical part | $51.29 | $64.57 | $89.13 |
Medcost Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
Medcost Setting Facility Modifier None Typical Low $97.72 Median $123.03 Typical High $302.00 | Facility | None | $97.72 | $123.03 | $302.00 |
Medcost Setting Professional Modifier None (both parts) Typical Low $117.49 Median $134.90 Typical High $181.97 | Professional | None (both parts) | $117.49 | $134.90 | $181.97 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $81.28 Typical High $104.71 | Professional | 26 · Professional part | $61.66 | $81.28 | $104.71 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $79.43 Typical High $89.13 | Professional | TC · Technical part | $54.95 | $79.43 | $89.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $97.72 Typical High $162.18 | Professional | None (both parts) | $44.67 | $97.72 | $162.18 |
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 $89.13 Median $112.20 Typical High $190.55 | Professional | None (both parts) | $89.13 | $112.20 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $63.10 Typical High $102.33 | Professional | 26 · Professional part | $46.77 | $63.10 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $53.70 Typical High $83.18 | Professional | TC · Technical part | $40.74 | $53.70 | $83.18 |
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 $52.48 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $52.48 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $21.38 | $22.39 | $22.39 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $58.88 Median $77.62 Typical High $97.72 | Professional | 51 · Multiple procedures | $58.88 | $77.62 | $97.72 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $23.99 Median $30.90 Typical High $38.90 | Professional | 80 · Assistant surgeon | $23.99 | $30.90 | $38.90 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.60 Median $21.88 Typical High $27.54 | Professional | 81 · Minimal assistant surgeon | $16.60 | $21.88 | $27.54 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.60 Median $21.88 Typical High $27.54 | Professional | 82 · Assistant surgeon, no resident | $16.60 | $21.88 | $27.54 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $16.60 Median $21.88 Typical High $27.54 | Professional | AS · PA/NP assist | $16.60 | $21.88 | $27.54 |
Where South Carolina sits
The same service costs 3.8 times more in Minnesota 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· 36th of 51
$120
MN $269UT $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.