How much rates vary
Facilitymedian $178 · 10th to 90th $59 to $275Professionalmedian $56 · 10th to 90th $37 to $71
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 $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $48.98 | Professional | None (both parts) | $45.71 | $45.71 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.79 Typical High $15.49 | Professional | 26 · Professional part | $14.45 | $14.79 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $30.90 Typical High $33.88 | Professional | TC · Technical part | $30.90 | $30.90 | $33.88 |
BCBS South Carolina Setting Facility Modifier None Typical Low $87.10 Median $199.53 Typical High $281.84 | Facility | None | $87.10 | $199.53 | $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 $37.15 Median $66.07 Typical High $70.79 | Professional | None (both parts) | $37.15 | $66.07 | $70.79 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $19.95 Typical High $21.38 | Professional | 26 · Professional part | $13.18 | $19.95 | $21.38 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $45.71 Typical High $48.98 | Professional | TC · Technical part | $24.55 | $45.71 | $48.98 |
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 $54.95 Median $69.18 Typical High $85.11 | Professional | None (both parts) | $54.95 | $69.18 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $21.38 Typical High $25.12 | Professional | 26 · Professional part | $17.38 | $21.38 | $25.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $47.86 Typical High $57.54 | Professional | TC · Technical part | $38.02 | $47.86 | $57.54 |
Medcost Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
Medcost Setting Facility Modifier None Typical Low $45.71 Median $54.95 Typical High $117.49 | Facility | None | $45.71 | $54.95 | $117.49 |
Medcost Setting Professional Modifier None (both parts) Typical Low $51.29 Median $63.10 Typical High $66.07 | Professional | None (both parts) | $51.29 | $63.10 | $66.07 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.50 Typical High $23.99 | Professional | 26 · Professional part | $17.38 | $19.50 | $23.99 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $44.67 Typical High $50.12 | Professional | TC · Technical part | $38.02 | $44.67 | $50.12 |
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 $40.74 Median $52.48 Typical High $83.18 | Professional | None (both parts) | $40.74 | $52.48 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $15.85 Typical High $25.70 | Professional | 26 · Professional part | $12.30 | $15.85 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $36.31 Typical High $57.54 | Professional | TC · Technical part | $28.18 | $36.31 | $57.54 |
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 $27.54 Median $31.62 Typical High $39.81 | Professional | 51 · Multiple procedures | $27.54 | $31.62 | $39.81 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $10.96 Median $12.88 Typical High $15.85 | Professional | 80 · Assistant surgeon | $10.96 | $12.88 | $15.85 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.76 Median $8.91 Typical High $11.22 | Professional | 81 · Minimal assistant surgeon | $7.76 | $8.91 | $11.22 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.76 Median $8.91 Typical High $11.22 | Professional | 82 · Assistant surgeon, no resident | $7.76 | $8.91 | $11.22 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $7.76 Median $8.91 Typical High $11.22 | Professional | AS · PA/NP assist | $7.76 | $8.91 | $11.22 |
Where South Carolina sits
The same service costs 3.3 times more in Minnesota 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· 28th of 51
$58.88
MN $102UT $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.