How much rates vary
Facilitymedian $117 · 10th to 90th $54 to $178Professionalmedian $78 · 10th to 90th $39 to $132
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 $81.28 Median $81.28 Typical High $120.23 | Facility | None | $81.28 | $81.28 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $81.28 Typical High $89.13 | Professional | None (both parts) | $72.44 | $81.28 | $89.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $38.02 Typical High $45.71 | Professional | 26 · Professional part | $37.15 | $38.02 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $42.66 Typical High $45.71 | Professional | TC · Technical part | $28.84 | $42.66 | $45.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $79.43 | $138.04 | $138.04 |
BCBS South Carolina Setting Facility Modifier None Typical Low $54.95 Median $123.03 Typical High $177.83 | Facility | None | $54.95 | $123.03 | $177.83 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | TC · Technical part | $74.13 | $74.13 | $74.13 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $74.13 Median $77.62 Typical High $81.28 | Professional | None (both parts) | $74.13 | $77.62 | $81.28 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $52.48 Typical High $54.95 | Professional | 26 · Professional part | $35.48 | $52.48 | $54.95 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $26.30 Typical High $38.90 | Professional | TC · Technical part | $25.12 | $26.30 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $81.28 Typical High $120.23 | Professional | None (both parts) | $64.57 | $81.28 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $54.95 Typical High $64.57 | Professional | 26 · Professional part | $43.65 | $54.95 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $26.30 Typical High $60.26 | Professional | TC · Technical part | $20.89 | $26.30 | $60.26 |
Medcost Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
Medcost Setting Facility Modifier None Typical Low $61.66 Median $81.28 Typical High $213.80 | Facility | None | $61.66 | $81.28 | $213.80 |
Medcost Setting Professional Modifier None (both parts) Typical Low $61.66 Median $74.13 Typical High $91.20 | Professional | None (both parts) | $61.66 | $74.13 | $91.20 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $50.12 Typical High $63.10 | Professional | 26 · Professional part | $40.74 | $50.12 | $63.10 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $23.99 Typical High $69.18 | Professional | TC · Technical part | $20.89 | $23.99 | $69.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $60.26 Typical High $162.18 | Professional | None (both parts) | $33.11 | $60.26 | $162.18 |
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 $54.95 Median $67.61 Typical High $109.65 | Professional | None (both parts) | $54.95 | $67.61 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $40.74 Typical High $66.07 | Professional | 26 · Professional part | $31.62 | $40.74 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $27.54 Typical High $52.48 | Professional | TC · Technical part | $19.50 | $27.54 | $52.48 |
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 $38.90 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $38.90 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $16.22 Typical High $16.22 | Professional | 53 · Discontinued | $15.49 | $16.22 | $16.22 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $30.90 Median $37.15 Typical High $56.23 | Professional | 51 · Multiple procedures | $30.90 | $37.15 | $56.23 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $12.30 Median $14.79 Typical High $22.39 | Professional | 80 · Assistant surgeon | $12.30 | $14.79 | $22.39 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.51 Median $10.23 Typical High $15.85 | Professional | 81 · Minimal assistant surgeon | $8.51 | $10.23 | $15.85 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.51 Median $10.23 Typical High $15.85 | Professional | 82 · Assistant surgeon, no resident | $8.51 | $10.23 | $15.85 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $8.51 Median $10.23 Typical High $15.85 | Professional | AS · PA/NP assist | $8.51 | $10.23 | $15.85 |
Where South Carolina sits
The same service costs 3.4 times more in Alaska than in New York. 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· 27th of 51
$79.43
AK $182NY $53.70
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.