How much rates vary
Facilitymedian $955 · 10th to 90th $417 to $2,754Professionalmedian $155 · 10th to 90th $98 to $263
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 $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $154.88 Typical High $190.55 | Professional | None (both parts) | $151.36 | $154.88 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $37.15 Typical High $45.71 | Professional | 26 · Professional part | $35.48 | $37.15 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $117.49 Typical High $144.54 | Professional | TC · Technical part | $112.20 | $117.49 | $144.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $263.03 | $263.03 | $263.03 |
BCBS South Carolina Setting Facility Modifier None Typical Low $489.78 Median $1,023.29 Typical High $2,754.23 | Facility | None | $489.78 | $1,023.29 | $2,754.23 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | TC · Technical part | $295.12 | $295.12 | $295.12 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $97.72 Median $151.36 Typical High $181.97 | Professional | None (both parts) | $97.72 | $151.36 | $181.97 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $57.54 Typical High $69.18 | Professional | 26 · Professional part | $33.88 | $57.54 | $69.18 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $93.33 Typical High $114.82 | Professional | TC · Technical part | $61.66 | $93.33 | $114.82 |
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 $131.83 Median $147.91 Typical High $309.03 | Professional | None (both parts) | $131.83 | $147.91 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $44.67 Typical High $74.13 | Professional | 26 · Professional part | $39.81 | $44.67 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $104.71 Typical High $234.42 | Professional | TC · Technical part | $89.13 | $104.71 | $234.42 |
Medcost Setting Facility Modifier None Typical Low $104.71 Median $154.88 Typical High $416.87 | Facility | None | $104.71 | $154.88 | $416.87 |
Medcost Setting Professional Modifier None (both parts) Typical Low $128.82 Median $181.97 Typical High $218.78 | Professional | None (both parts) | $128.82 | $181.97 | $218.78 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $61.66 Typical High $75.86 | Professional | 26 · Professional part | $39.81 | $61.66 | $75.86 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $131.83 Typical High $204.17 | Professional | TC · Technical part | $89.13 | $131.83 | $204.17 |
Molina Setting Professional Modifier None (both parts) Typical Low $50.12 Median $177.83 Typical High $281.84 | Professional | None (both parts) | $50.12 | $177.83 | $281.84 |
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 $123.03 Median $151.36 Typical High $245.47 | Professional | None (both parts) | $123.03 | $151.36 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $41.69 Typical High $66.07 | Professional | 26 · Professional part | $32.36 | $41.69 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $114.82 Typical High $186.21 | Professional | TC · Technical part | $85.11 | $114.82 | $186.21 |
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 $75.86 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $75.86 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $30.90 | $30.90 | $30.90 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $64.57 Median $93.33 Typical High $134.90 | Professional | 51 · Multiple procedures | $64.57 | $93.33 | $134.90 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $25.70 Median $37.15 Typical High $53.70 | Professional | 80 · Assistant surgeon | $25.70 | $37.15 | $53.70 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $18.20 Median $25.70 Typical High $38.02 | Professional | 81 · Minimal assistant surgeon | $18.20 | $25.70 | $38.02 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $18.20 Median $25.70 Typical High $38.02 | Professional | 82 · Assistant surgeon, no resident | $18.20 | $25.70 | $38.02 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $18.20 Median $25.70 Typical High $38.02 | Professional | AS · PA/NP assist | $18.20 | $25.70 | $38.02 |
Where South Carolina sits
The same service costs 3.0 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· 44th of 51
$155
AK $380UT $129
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.