How much rates vary
Facilitymedian $30 · 10th to 90th $26 to $191Professionalmedian $35 · 10th to 90th $26 to $83
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 $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $26.30 Typical High $31.62 | Professional | None (both parts) | $25.70 | $26.30 | $31.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $11.22 Typical High $12.30 | Professional | 26 · Professional part | $10.72 | $11.22 | $12.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $15.49 Typical High $19.05 | Professional | TC · Technical part | $15.14 | $15.49 | $19.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $50.12 Median $79.43 Typical High $104.71 | Professional | None (both parts) | $50.12 | $79.43 | $104.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $33.11 | Professional | 26 · Professional part | $26.30 | $26.30 | $33.11 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $30.90 Median $33.11 Typical High $57.54 | Professional | None (both parts) | $30.90 | $33.11 | $57.54 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $13.80 Typical High $23.99 | Professional | 26 · Professional part | $12.88 | $13.80 | $23.99 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $19.05 Typical High $33.88 | Professional | TC · Technical part | $18.20 | $19.05 | $33.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $32.36 Typical High $52.48 | Professional | None (both parts) | $28.18 | $32.36 | $52.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.11 Typical High $42.66 | Professional | 26 · Professional part | $27.54 | $33.11 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $45.71 Typical High $58.88 | Professional | TC · Technical part | $38.90 | $45.71 | $58.88 |
Medcost Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Medcost Setting Facility Modifier None Typical Low $26.30 Median $29.51 Typical High $162.18 | Facility | None | $26.30 | $29.51 | $162.18 |
Medcost Setting Professional Modifier None (both parts) Typical Low $26.92 Median $29.51 Typical High $34.67 | Professional | None (both parts) | $26.92 | $29.51 | $34.67 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $26.92 Typical High $26.92 | Professional | 26 · Professional part | $17.38 | $26.92 | $26.92 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $38.02 Typical High $38.02 | Professional | TC · Technical part | $26.30 | $38.02 | $38.02 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $58.88 Typical High $109.65 | Professional | None (both parts) | $33.88 | $58.88 | $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 $21.88 Median $26.30 Typical High $56.23 | Professional | None (both parts) | $21.88 | $26.30 | $56.23 |
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 $14.79 Typical High $20.89 | Professional | 51 · Multiple procedures | $13.49 | $14.79 | $20.89 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.37 Median $5.89 Typical High $8.51 | Professional | 80 · Assistant surgeon | $5.37 | $5.89 | $8.51 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.80 Median $4.17 Typical High $5.89 | Professional | 81 · Minimal assistant surgeon | $3.80 | $4.17 | $5.89 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.80 Median $4.17 Typical High $5.89 | Professional | 82 · Assistant surgeon, no resident | $3.80 | $4.17 | $5.89 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.80 Median $4.17 Typical High $5.89 | Professional | AS · PA/NP assist | $3.80 | $4.17 | $5.89 |
Where South Carolina sits
The same service costs 4.7 times more in Minnesota than in Kentucky. 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· 44th of 51
$34.67
MN $129KY $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.