How much rates vary
Facilitymedian $47 · 10th to 90th $26 to $120Professionalmedian $35 · 10th to 90th $30 to $56
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $46.77 Typical High $46.77 | Professional | None (both parts) | $43.65 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $15.14 Typical High $15.85 | Professional | 26 · Professional part | $14.79 | $15.14 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $30.90 Typical High $31.62 | Professional | TC · Technical part | $28.18 | $30.90 | $31.62 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $30.90 Median $33.11 Typical High $41.69 | Professional | None (both parts) | $30.90 | $33.11 | $41.69 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $18.20 Typical High $19.05 | Professional | 26 · Professional part | $14.13 | $18.20 | $19.05 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $13.80 Typical High $27.54 | Professional | TC · Technical part | $12.88 | $13.80 | $27.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.11 Typical High $67.61 | Professional | None (both parts) | $28.18 | $33.11 | $67.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $19.05 Typical High $25.12 | Professional | 26 · Professional part | $16.22 | $19.05 | $25.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $14.13 Typical High $43.65 | Professional | TC · Technical part | $12.30 | $14.13 | $43.65 |
Medcost Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
Medcost Setting Facility Modifier None Typical Low $26.30 Median $46.77 Typical High $120.23 | Facility | None | $26.30 | $46.77 | $120.23 |
Medcost Setting Professional Modifier None (both parts) Typical Low $26.92 Median $30.20 Typical High $52.48 | Professional | None (both parts) | $26.92 | $30.20 | $52.48 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $17.38 Typical High $24.55 | Professional | 26 · Professional part | $15.49 | $17.38 | $24.55 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $11.75 Median $12.88 Typical High $51.29 | Professional | TC · Technical part | $11.75 | $12.88 | $51.29 |
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 Professional Modifier None (both parts) Typical Low $25.12 Median $34.67 Typical High $60.26 | Professional | None (both parts) | $25.12 | $34.67 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $15.14 Typical High $25.70 | Professional | 26 · Professional part | $12.59 | $15.14 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $19.50 Typical High $38.02 | Professional | TC · Technical part | $10.47 | $19.50 | $38.02 |
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 $13.49 Median $15.14 Typical High $32.36 | Professional | 51 · Multiple procedures | $13.49 | $15.14 | $32.36 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.37 Median $6.03 Typical High $12.88 | Professional | 80 · Assistant surgeon | $5.37 | $6.03 | $12.88 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.80 Median $4.27 Typical High $9.12 | Professional | 81 · Minimal assistant surgeon | $3.80 | $4.27 | $9.12 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.80 Median $4.27 Typical High $9.12 | Professional | 82 · Assistant surgeon, no resident | $3.80 | $4.27 | $9.12 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.80 Median $4.27 Typical High $9.12 | Professional | AS · PA/NP assist | $3.80 | $4.27 | $9.12 |
Where South Carolina sits
The same service costs 3.7 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· 43rd of 51
$35.48
AK $102NY $27.54
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.