How much rates vary
Facilitymedian $112 · 10th to 90th $34 to $288Professionalmedian $49 · 10th to 90th $29 to $89
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 $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $28.84 Typical High $28.84 | Professional | None (both parts) | $27.54 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.59 Typical High $12.59 | Professional | 26 · Professional part | $12.02 | $12.59 | $12.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $16.60 Typical High $16.60 | Professional | TC · Technical part | $15.85 | $16.60 | $16.60 |
BCBS South Carolina Setting Facility Modifier None Typical Low $36.31 Median $125.89 Typical High $275.42 | Facility | None | $36.31 | $125.89 | $275.42 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | TC · Technical part | $138.04 | $138.04 | $138.04 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $30.90 Median $58.88 Typical High $89.13 | Professional | None (both parts) | $30.90 | $58.88 | $89.13 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $15.85 Typical High $38.02 | Professional | 26 · Professional part | $12.02 | $15.85 | $38.02 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $43.65 Typical High $52.48 | Professional | TC · Technical part | $19.05 | $43.65 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $52.48 Typical High $64.57 | Professional | None (both parts) | $33.11 | $52.48 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $14.79 Typical High $20.89 | Professional | 26 · Professional part | $13.49 | $14.79 | $20.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $38.02 Typical High $42.66 | Professional | TC · Technical part | $19.05 | $38.02 | $42.66 |
Medcost Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
Medcost Setting Facility Modifier None Typical Low $28.84 Median $34.67 Typical High $85.11 | Facility | None | $28.84 | $34.67 | $85.11 |
Medcost Setting Professional Modifier None (both parts) Typical Low $32.36 Median $43.65 Typical High $95.50 | Professional | None (both parts) | $32.36 | $43.65 | $95.50 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $20.42 Typical High $22.91 | Professional | 26 · Professional part | $13.18 | $20.42 | $22.91 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $26.92 Typical High $61.66 | Professional | TC · Technical part | $21.88 | $26.92 | $61.66 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.90 Median $40.74 Typical High $60.26 | Professional | None (both parts) | $30.90 | $40.74 | $60.26 |
United Setting Facility Modifier None Typical Low $245.47 Median $302.00 Typical High $389.05 | Facility | None | $245.47 | $302.00 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $23.99 Median $35.48 Typical High $83.18 | Professional | None (both parts) | $23.99 | $35.48 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $13.18 Typical High $21.88 | Professional | 26 · Professional part | $10.47 | $13.18 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $21.38 Typical High $60.26 | Professional | TC · Technical part | $13.49 | $21.38 | $60.26 |
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 $13.80 Median $14.45 Typical High $14.45 | Professional | 52 · Reduced service | $13.80 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.75 Typical High $5.75 | Professional | 53 · Discontinued | $5.62 | $5.75 | $5.75 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $17.78 Median $28.18 Typical High $47.86 | Professional | 51 · Multiple procedures | $17.78 | $28.18 | $47.86 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.08 Median $11.22 Typical High $19.05 | Professional | 80 · Assistant surgeon | $7.08 | $11.22 | $19.05 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.01 Median $7.76 Typical High $13.49 | Professional | 81 · Minimal assistant surgeon | $5.01 | $7.76 | $13.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.01 Median $7.76 Typical High $13.49 | Professional | 82 · Assistant surgeon, no resident | $5.01 | $7.76 | $13.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.01 Median $7.76 Typical High $13.49 | Professional | AS · PA/NP assist | $5.01 | $7.76 | $13.49 |
Where South Carolina sits
The same service costs 2.6 times more in Minnesota than in Alabama. 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· 15th of 51
$51.29
MN $74.13AL $28.18
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.