How much rates vary
Facilitymedian $871 · 10th to 90th $257 to $1,259Professionalmedian $151 · 10th to 90th $93 to $324
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 $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $120.23 Typical High $128.82 | Professional | None (both parts) | $114.82 | $120.23 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $36.31 | $38.02 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $83.18 Typical High $91.20 | Professional | TC · Technical part | $79.43 | $83.18 | $91.20 |
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 $128.82 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $128.82 | $323.59 | $323.59 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $50.12 Typical High $346.74 | Professional | 26 · Professional part | $36.31 | $50.12 | $346.74 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $95.50 | Professional | TC · Technical part | $91.20 | $91.20 | $95.50 |
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 $169.82 Median $281.84 Typical High $302.00 | Professional | None (both parts) | $169.82 | $281.84 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $46.77 Typical High $60.26 | Professional | 26 · Professional part | $40.74 | $46.77 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $234.42 Typical High $239.88 | Professional | TC · Technical part | $114.82 | $234.42 | $239.88 |
Medcost Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
Medcost Setting Facility Modifier None Typical Low $120.23 Median $162.18 Typical High $331.13 | Facility | None | $120.23 | $162.18 | $331.13 |
Medcost Setting Professional Modifier None (both parts) Typical Low $134.90 Median $199.53 Typical High $537.03 | Professional | None (both parts) | $134.90 | $199.53 | $537.03 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $61.66 Typical High $67.61 | Professional | 26 · Professional part | $40.74 | $61.66 | $67.61 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $158.49 Typical High $380.19 | Professional | TC · Technical part | $138.04 | $158.49 | $380.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $134.90 Typical High $218.78 | Professional | None (both parts) | $44.67 | $134.90 | $218.78 |
United Setting Facility Modifier None Typical Low $537.03 Median $660.69 Typical High $851.14 | Facility | None | $537.03 | $660.69 | $851.14 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $169.82 Typical High $436.52 | Professional | None (both parts) | $112.20 | $169.82 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $39.81 Typical High $63.10 | Professional | 26 · Professional part | $30.20 | $39.81 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $123.03 Typical High $371.54 | Professional | TC · Technical part | $81.28 | $123.03 | $371.54 |
9 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 $57.54 Median $60.26 Typical High $64.57 | Professional | 52 · Reduced service | $57.54 | $60.26 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $24.55 Typical High $25.70 | Professional | 53 · Discontinued | $23.44 | $24.55 | $25.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $18.20 Typical High $19.05 | Professional | 55 · Aftercare only | $17.38 | $18.20 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $12.02 Typical High $12.88 | Professional | 56 · Pre-op care only | $11.48 | $12.02 | $12.88 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $85.11 Median $128.82 Typical High $269.15 | Professional | 51 · Multiple procedures | $85.11 | $128.82 | $269.15 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $33.88 Median $51.29 Typical High $107.15 | Professional | 80 · Assistant surgeon | $33.88 | $51.29 | $107.15 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $23.99 Median $35.48 Typical High $75.86 | Professional | 81 · Minimal assistant surgeon | $23.99 | $35.48 | $75.86 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $23.99 Median $35.48 Typical High $75.86 | Professional | 82 · Assistant surgeon, no resident | $23.99 | $35.48 | $75.86 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $23.99 Median $35.48 Typical High $75.86 | Professional | AS · PA/NP assist | $23.99 | $35.48 | $75.86 |
Where South Carolina sits
The same service costs 3.2 times more in Kansas 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· 37th of 51
$155
KS $324UT $100
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.