How much rates vary
Facilitymedian $123 · 10th to 90th $56 to $182Professionalmedian $68 · 10th to 90th $38 to $105
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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $70.79 Typical High $72.44 | Professional | None (both parts) | $67.61 | $70.79 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $37.15 Typical High $40.74 | Professional | 26 · Professional part | $36.31 | $37.15 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $33.88 Typical High $33.88 | Professional | TC · Technical part | $30.90 | $33.88 | $33.88 |
BCBS South Carolina Setting Facility Modifier None Typical Low $56.23 Median $123.03 Typical High $177.83 | Facility | None | $56.23 | $123.03 | $177.83 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | TC · Technical part | $72.44 | $72.44 | $72.44 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $69.18 | Professional | None (both parts) | $66.07 | $66.07 | $69.18 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $35.48 | Professional | 26 · Professional part | $34.67 | $34.67 | $35.48 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | TC · Technical part | $31.62 | $31.62 | $31.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $75.86 Typical High $107.15 | Professional | None (both parts) | $64.57 | $75.86 | $107.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $50.12 Typical High $61.66 | Professional | 26 · Professional part | $41.69 | $50.12 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $26.92 Typical High $50.12 | Professional | TC · Technical part | $22.91 | $26.92 | $50.12 |
Medcost Setting Facility Modifier None Typical Low $70.79 Median $79.43 Typical High $186.21 | Facility | None | $70.79 | $79.43 | $186.21 |
Medcost Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $79.43 | Professional | None (both parts) | $70.79 | $70.79 | $79.43 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $60.26 | Professional | 26 · Professional part | $45.71 | $45.71 | $60.26 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $24.55 Typical High $56.23 | Professional | TC · Technical part | $24.55 | $24.55 | $56.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $57.54 Typical High $109.65 | Professional | None (both parts) | $33.11 | $57.54 | $109.65 |
United Setting Facility Modifier None Typical Low $158.49 Median $190.55 Typical High $245.47 | Facility | None | $158.49 | $190.55 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $67.61 Typical High $109.65 | Professional | None (both parts) | $52.48 | $67.61 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $40.74 Typical High $67.61 | Professional | 26 · Professional part | $30.90 | $40.74 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $26.30 Typical High $43.65 | Professional | TC · Technical part | $20.42 | $26.30 | $43.65 |
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 $34.67 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $34.67 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $14.45 Typical High $14.45 | Professional | 53 · Discontinued | $13.80 | $14.45 | $14.45 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $35.48 Median $35.48 Typical High $50.12 | Professional | 51 · Multiple procedures | $35.48 | $35.48 | $50.12 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $14.13 Median $14.13 Typical High $19.95 | Professional | 80 · Assistant surgeon | $14.13 | $14.13 | $19.95 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.77 Median $9.77 Typical High $14.13 | Professional | 81 · Minimal assistant surgeon | $9.77 | $9.77 | $14.13 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.77 Median $9.77 Typical High $14.13 | Professional | 82 · Assistant surgeon, no resident | $9.77 | $9.77 | $14.13 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $9.77 Median $9.77 Typical High $14.13 | Professional | AS · PA/NP assist | $9.77 | $9.77 | $14.13 |
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· 44th of 51
$67.61
AK $162UT $48.98
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.