How much rates vary
Facilitymedian $178 · 10th to 90th $83 to $275Professionalmedian $100 · 10th to 90th $40 to $145
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 $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $100.00 Typical High $107.15 | Professional | None (both parts) | $91.20 | $100.00 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $57.54 Typical High $67.61 | Professional | 26 · Professional part | $56.23 | $57.54 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $42.66 Typical High $45.71 | Professional | TC · Technical part | $32.36 | $42.66 | $45.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $85.11 Median $144.54 Typical High $169.82 | Professional | None (both parts) | $85.11 | $144.54 | $169.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $58.88 | $58.88 | $58.88 |
BCBS Setting Facility Modifier None Typical Low $87.10 Median $194.98 Typical High $281.84 | Facility | None | $87.10 | $194.98 | $281.84 |
BCBS Setting Facility Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | TC · Technical part | $125.89 | $125.89 | $125.89 |
BCBS Setting Professional Modifier None (both parts) Typical Low $91.20 Median $100.00 Typical High $107.15 | Professional | None (both parts) | $91.20 | $100.00 | $107.15 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $70.79 Typical High $75.86 | Professional | 26 · Professional part | $52.48 | $70.79 | $75.86 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $31.62 Typical High $38.90 | Professional | TC · Technical part | $30.20 | $31.62 | $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 $91.20 Median $107.15 Typical High $147.91 | Professional | None (both parts) | $91.20 | $107.15 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $74.13 Typical High $95.50 | Professional | 26 · Professional part | $63.10 | $74.13 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $31.62 Typical High $60.26 | Professional | TC · Technical part | $25.12 | $31.62 | $60.26 |
Medcost Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Medcost Setting Facility Modifier None Typical Low $85.11 Median $100.00 Typical High $263.03 | Facility | None | $85.11 | $100.00 | $263.03 |
Medcost Setting Professional Modifier None (both parts) Typical Low $89.13 Median $97.72 Typical High $131.83 | Professional | None (both parts) | $89.13 | $97.72 | $131.83 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $67.61 Typical High $95.50 | Professional | 26 · Professional part | $64.57 | $67.61 | $95.50 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $28.84 Typical High $69.18 | Professional | TC · Technical part | $24.55 | $28.84 | $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 $70.79 Median $89.13 Typical High $144.54 | Professional | None (both parts) | $70.79 | $89.13 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $57.54 Typical High $97.72 | Professional | 26 · Professional part | $47.86 | $57.54 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $29.51 Typical High $52.48 | Professional | TC · Technical part | $23.44 | $29.51 | $52.48 |
5 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $44.67 Median $48.98 Typical High $70.79 | Professional | 51 · Multiple procedures | $44.67 | $48.98 | $70.79 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $17.78 Median $19.50 Typical High $28.18 | Professional | 80 · Assistant surgeon | $17.78 | $19.50 | $28.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.30 Median $13.49 Typical High $19.95 | Professional | 81 · Minimal assistant surgeon | $12.30 | $13.49 | $19.95 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.30 Median $13.49 Typical High $19.95 | Professional | 82 · Assistant surgeon, no resident | $12.30 | $13.49 | $19.95 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $12.30 Median $13.49 Typical High $19.95 | Professional | AS · PA/NP assist | $12.30 | $13.49 | $19.95 |
Where South Carolina sits
The same service costs 3.2 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· 33rd of 51
$100
AK $229UT $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.