How much rates vary
Facilitymedian $110 · 10th to 90th $34 to $170Professionalmedian $39 · 10th to 90th $32 to $59
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 $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $53.70 Typical High $53.70 | Professional | None (both parts) | $37.15 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $21.88 Typical High $23.44 | Professional | 26 · Professional part | $20.89 | $21.88 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $32.36 Typical High $33.11 | Professional | TC · Technical part | $13.80 | $32.36 | $33.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 26 · Professional part | $21.88 | $21.88 | $21.88 |
BCBS South Carolina Setting Facility Modifier None Typical Low $48.98 Median $120.23 Typical High $165.96 | Facility | None | $48.98 | $120.23 | $165.96 |
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 $37.15 Median $38.90 Typical High $48.98 | Professional | None (both parts) | $37.15 | $38.90 | $48.98 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $25.70 Typical High $27.54 | Professional | 26 · Professional part | $19.95 | $25.70 | $27.54 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $11.75 Typical High $29.51 | Professional | TC · Technical part | $10.96 | $11.75 | $29.51 |
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 $33.11 Median $38.90 Typical High $79.43 | Professional | None (both parts) | $33.11 | $38.90 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.92 Typical High $36.31 | Professional | 26 · Professional part | $22.91 | $26.92 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $9.77 Median $12.02 Typical High $44.67 | Professional | TC · Technical part | $9.77 | $12.02 | $44.67 |
Medcost Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
Medcost Setting Facility Modifier None Typical Low $30.90 Median $53.70 Typical High $141.25 | Facility | None | $30.90 | $53.70 | $141.25 |
Medcost Setting Professional Modifier None (both parts) Typical Low $31.62 Median $35.48 Typical High $60.26 | Professional | None (both parts) | $31.62 | $35.48 | $60.26 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $24.55 Typical High $35.48 | Professional | 26 · Professional part | $22.39 | $24.55 | $35.48 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $9.55 Median $10.96 Typical High $53.70 | Professional | TC · Technical part | $9.55 | $10.96 | $53.70 |
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 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 $29.51 Median $40.74 Typical High $70.79 | Professional | None (both parts) | $29.51 | $40.74 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $21.38 Typical High $36.31 | Professional | 26 · Professional part | $17.78 | $21.38 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $8.91 Median $19.50 Typical High $38.90 | Professional | TC · Technical part | $8.91 | $19.50 | $38.90 |
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 $15.85 Median $17.78 Typical High $38.02 | Professional | 51 · Multiple procedures | $15.85 | $17.78 | $38.02 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.31 Median $7.08 Typical High $15.14 | Professional | 80 · Assistant surgeon | $6.31 | $7.08 | $15.14 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.47 Median $5.01 Typical High $10.72 | Professional | 81 · Minimal assistant surgeon | $4.47 | $5.01 | $10.72 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.47 Median $5.01 Typical High $10.72 | Professional | 82 · Assistant surgeon, no resident | $4.47 | $5.01 | $10.72 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.47 Median $5.01 Typical High $10.72 | Professional | AS · PA/NP assist | $4.47 | $5.01 | $10.72 |
Where South Carolina sits
The same service costs 3.9 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· 45th of 51
$38.90
AK $120UT $30.90
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.