How much rates vary
Facilitymedian $1,514 · 10th to 90th $457 to $3,631Professionalmedian $240 · 10th to 90th $158 to $347
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 $218.78 Median $218.78 Typical High $331.13 | Facility | None | $218.78 | $218.78 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $275.42 | Professional | None (both parts) | $218.78 | $218.78 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $63.10 Typical High $81.28 | Professional | 26 · Professional part | $61.66 | $63.10 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $158.49 Typical High $204.17 | Professional | TC · Technical part | $154.88 | $158.49 | $204.17 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $229.09 | $229.09 | $229.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $107.15 | Professional | 26 · Professional part | $64.57 | $64.57 | $107.15 |
BCBS South Carolina Setting Facility Modifier None Typical Low $776.25 Median $1,621.81 Typical High $3,630.78 | Facility | None | $776.25 | $1,621.81 | $3,630.78 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | TC · Technical part | $512.86 | $512.86 | $512.86 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $208.93 Median $275.42 Typical High $354.81 | Professional | None (both parts) | $208.93 | $275.42 | $354.81 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $95.50 Typical High $125.89 | Professional | 26 · Professional part | $58.88 | $95.50 | $125.89 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $169.82 Typical High $218.78 | Professional | TC · Technical part | $147.91 | $169.82 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $251.19 Typical High $436.52 | Professional | None (both parts) | $229.09 | $251.19 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $75.86 Typical High $125.89 | Professional | 26 · Professional part | $69.18 | $75.86 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $173.78 Typical High $309.03 | Professional | TC · Technical part | $154.88 | $173.78 | $309.03 |
Medcost Setting Facility Modifier None Typical Low $199.53 Median $218.78 Typical High $588.84 | Facility | None | $199.53 | $218.78 | $588.84 |
Medcost Setting Professional Modifier None (both parts) Typical Low $204.17 Median $302.00 Typical High $346.74 | Professional | None (both parts) | $204.17 | $302.00 | $346.74 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $109.65 Typical High $138.04 | Professional | 26 · Professional part | $70.79 | $109.65 | $138.04 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $239.88 Typical High $371.54 | Professional | TC · Technical part | $134.90 | $239.88 | $371.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $50.12 Median $213.80 Typical High $338.84 | Professional | None (both parts) | $50.12 | $213.80 | $338.84 |
United Setting Facility Modifier None Typical Low $2,290.87 Median $2,754.23 Typical High $3,630.78 | Facility | None | $2,290.87 | $2,754.23 | $3,630.78 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $239.88 Typical High $371.54 | Professional | None (both parts) | $190.55 | $239.88 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $70.79 Typical High $112.20 | Professional | 26 · Professional part | $54.95 | $70.79 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $165.96 Typical High $251.19 | Professional | TC · Technical part | $131.83 | $165.96 | $251.19 |
7 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $43.65 | $44.67 | $44.67 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $102.33 Median $162.18 Typical High $190.55 | Professional | 51 · Multiple procedures | $102.33 | $162.18 | $190.55 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $41.69 Median $64.57 Typical High $77.62 | Professional | 80 · Assistant surgeon | $41.69 | $64.57 | $77.62 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $28.84 Median $44.67 Typical High $53.70 | Professional | 81 · Minimal assistant surgeon | $28.84 | $44.67 | $53.70 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $28.84 Median $44.67 Typical High $53.70 | Professional | 82 · Assistant surgeon, no resident | $28.84 | $44.67 | $53.70 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $28.84 Median $44.67 Typical High $53.70 | Professional | AS · PA/NP assist | $28.84 | $44.67 | $53.70 |
Where South Carolina sits
The same service costs 3.5 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· 41st of 51
$245
AK $562UT $158
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.