How much rates vary
Facilitymedian $123 · 10th to 90th $54 to $178Professionalmedian $59 · 10th to 90th $38 to $93
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 $61.66 Median $61.66 Typical High $162.18 | Facility | None | $61.66 | $61.66 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $61.66 Typical High $64.57 | Professional | None (both parts) | $54.95 | $61.66 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $26.30 Typical High $28.84 | Professional | 26 · Professional part | $25.12 | $26.30 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $35.48 Typical High $37.15 | Professional | TC · Technical part | $30.90 | $35.48 | $37.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $102.33 | $102.33 | $102.33 |
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 $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 $56.23 Median $56.23 Typical High $58.88 | Professional | None (both parts) | $56.23 | $56.23 | $58.88 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $34.67 Typical High $37.15 | Professional | 26 · Professional part | $24.55 | $34.67 | $37.15 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $22.39 Typical High $31.62 | Professional | TC · Technical part | $20.89 | $22.39 | $31.62 |
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 $46.77 Median $58.88 Typical High $91.20 | Professional | None (both parts) | $46.77 | $58.88 | $91.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $37.15 Typical High $44.67 | Professional | 26 · Professional part | $29.51 | $37.15 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $21.38 Typical High $50.12 | Professional | TC · Technical part | $16.98 | $21.38 | $50.12 |
Medcost Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Medcost Setting Facility Modifier None Typical Low $43.65 Median $61.66 Typical High $162.18 | Facility | None | $43.65 | $61.66 | $162.18 |
Medcost Setting Professional Modifier None (both parts) Typical Low $45.71 Median $53.70 Typical High $69.18 | Professional | None (both parts) | $45.71 | $53.70 | $69.18 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.88 Typical High $42.66 | Professional | 26 · Professional part | $29.51 | $33.88 | $42.66 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $19.50 Typical High $57.54 | Professional | TC · Technical part | $16.22 | $19.50 | $57.54 |
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 $39.81 Median $48.98 Typical High $81.28 | Professional | None (both parts) | $39.81 | $48.98 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $28.18 Typical High $44.67 | Professional | 26 · Professional part | $21.88 | $28.18 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $22.91 Typical High $42.66 | Professional | TC · Technical part | $15.85 | $22.91 | $42.66 |
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 $22.91 Median $26.92 Typical High $42.66 | Professional | 51 · Multiple procedures | $22.91 | $26.92 | $42.66 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $9.12 Median $10.72 Typical High $17.38 | Professional | 80 · Assistant surgeon | $9.12 | $10.72 | $17.38 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.46 Median $7.41 Typical High $12.02 | Professional | 81 · Minimal assistant surgeon | $6.46 | $7.41 | $12.02 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.46 Median $7.41 Typical High $12.02 | Professional | 82 · Assistant surgeon, no resident | $6.46 | $7.41 | $12.02 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.46 Median $7.41 Typical High $12.02 | Professional | AS · PA/NP assist | $6.46 | $7.41 | $12.02 |
Where South Carolina sits
The same service costs 3.5 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· 31st of 51
$58.88
AK $138NY $39.81
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.