How much rates vary
Facilitymedian $178 · 10th to 90th $74 to $275Professionalmedian $74 · 10th to 90th $39 to $100
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 $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $74.13 Typical High $79.43 | Professional | None (both parts) | $69.18 | $74.13 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.02 Typical High $45.71 | Professional | 26 · Professional part | $36.31 | $38.02 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $36.31 Typical High $36.31 | Professional | TC · Technical part | $32.36 | $36.31 | $36.31 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $74.13 | Professional | None (both parts) | $63.10 | $63.10 | $74.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $44.67 Typical High $63.10 | Professional | 26 · Professional part | $38.02 | $44.67 | $63.10 |
BCBS South Carolina Setting Facility Modifier None Typical Low $85.11 Median $194.98 Typical High $281.84 | Facility | None | $85.11 | $194.98 | $281.84 |
BCBS South Carolina 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 South Carolina Setting Professional Modifier None (both parts) Typical Low $67.61 Median $77.62 Typical High $81.28 | Professional | None (both parts) | $67.61 | $77.62 | $81.28 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $52.48 Typical High $54.95 | Professional | 26 · Professional part | $34.67 | $52.48 | $54.95 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $26.30 Typical High $33.11 | Professional | TC · Technical part | $25.12 | $26.30 | $33.11 |
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 $69.18 Median $81.28 Typical High $112.20 | Professional | None (both parts) | $69.18 | $81.28 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $54.95 Typical High $66.07 | Professional | 26 · Professional part | $44.67 | $54.95 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $26.30 Typical High $51.29 | Professional | TC · Technical part | $20.89 | $26.30 | $51.29 |
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 $67.61 Median $74.13 Typical High $194.98 | Facility | None | $67.61 | $74.13 | $194.98 |
Medcost Setting Professional Modifier None (both parts) Typical Low $70.79 Median $74.13 Typical High $85.11 | Professional | None (both parts) | $70.79 | $74.13 | $85.11 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $61.66 | Professional | 26 · Professional part | $50.12 | $50.12 | $61.66 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $23.99 Typical High $58.88 | Professional | TC · Technical part | $20.89 | $23.99 | $58.88 |
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 $52.48 Median $64.57 Typical High $107.15 | Professional | None (both parts) | $52.48 | $64.57 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $41.69 Typical High $67.61 | Professional | 26 · Professional part | $30.90 | $41.69 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $25.12 Typical High $44.67 | Professional | TC · Technical part | $19.50 | $25.12 | $44.67 |
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 $35.48 Median $37.15 Typical High $51.29 | Professional | 51 · Multiple procedures | $35.48 | $37.15 | $51.29 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $14.13 Median $14.79 Typical High $20.89 | Professional | 80 · Assistant surgeon | $14.13 | $14.79 | $20.89 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.00 Median $10.47 Typical High $14.45 | Professional | 81 · Minimal assistant surgeon | $10.00 | $10.47 | $14.45 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.00 Median $10.47 Typical High $14.45 | Professional | 82 · Assistant surgeon, no resident | $10.00 | $10.47 | $14.45 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $10.00 Median $10.47 Typical High $14.45 | Professional | AS · PA/NP assist | $10.00 | $10.47 | $14.45 |
Where South Carolina sits
The same service costs 3.4 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
$74.13
AK $166UT $48.98
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.