How much rates vary
Facilitymedian $1,549 · 10th to 90th $324 to $2,754Professionalmedian $209 · 10th to 90th $102 to $372
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 $199.53 Median $245.47 Typical High $776.25 | Facility | None | $199.53 | $245.47 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $338.84 | Professional | None (both parts) | $199.53 | $199.53 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $70.79 Typical High $104.71 | Professional | 26 · Professional part | $69.18 | $70.79 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $213.80 | Professional | TC · Technical part | $125.89 | $125.89 | $213.80 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $158.49 Median $204.17 Typical High $281.84 | Professional | None (both parts) | $158.49 | $204.17 | $281.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $91.20 Typical High $120.23 | Professional | 26 · Professional part | $52.48 | $91.20 | $120.23 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $141.25 Typical High $213.80 | Professional | TC · Technical part | $120.23 | $141.25 | $213.80 |
BCBS South Carolina Setting Facility Modifier None Typical Low $812.83 Median $1,621.81 Typical High $2,754.23 | Facility | None | $812.83 | $1,621.81 | $2,754.23 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | TC · Technical part | $954.99 | $954.99 | $954.99 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $186.21 Median $323.59 Typical High $501.19 | Professional | None (both parts) | $186.21 | $323.59 | $501.19 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $91.20 Typical High $125.89 | Professional | 26 · Professional part | $66.07 | $91.20 | $125.89 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $229.09 Typical High $380.19 | Professional | TC · Technical part | $120.23 | $229.09 | $380.19 |
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 $239.88 Median $316.23 Typical High $426.58 | Professional | None (both parts) | $239.88 | $316.23 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $91.20 Typical High $141.25 | Professional | 26 · Professional part | $74.13 | $91.20 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $223.87 Typical High $281.84 | Professional | TC · Technical part | $158.49 | $223.87 | $281.84 |
Medcost Setting Facility Modifier None Typical Low $199.53 Median $213.80 Typical High $524.81 | Facility | None | $199.53 | $213.80 | $524.81 |
Medcost Setting Professional Modifier None (both parts) Typical Low $223.87 Median $288.40 Typical High $707.95 | Professional | None (both parts) | $223.87 | $288.40 | $707.95 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $83.18 Typical High $251.19 | Professional | 26 · Professional part | $72.44 | $83.18 | $251.19 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $204.17 Typical High $281.84 | Professional | TC · Technical part | $165.96 | $204.17 | $281.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $75.86 Median $158.49 Typical High $269.15 | Professional | None (both parts) | $75.86 | $158.49 | $269.15 |
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 $181.97 Median $251.19 Typical High $416.87 | Professional | None (both parts) | $181.97 | $251.19 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $79.43 Typical High $123.03 | Professional | 26 · Professional part | $61.66 | $79.43 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $173.78 Typical High $281.84 | Professional | TC · Technical part | $117.49 | $173.78 | $281.84 |
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 $120.23 Median $144.54 Typical High $346.74 | Professional | 51 · Multiple procedures | $120.23 | $144.54 | $346.74 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $47.86 Median $57.54 Typical High $141.25 | Professional | 80 · Assistant surgeon | $47.86 | $57.54 | $141.25 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $33.88 Median $40.74 Typical High $97.72 | Professional | 81 · Minimal assistant surgeon | $33.88 | $40.74 | $97.72 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $33.88 Median $40.74 Typical High $97.72 | Professional | 82 · Assistant surgeon, no resident | $33.88 | $40.74 | $97.72 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $33.88 Median $40.74 Typical High $97.72 | Professional | AS · PA/NP assist | $33.88 | $40.74 | $97.72 |
Where South Carolina sits
The same service costs 6.3 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· 43rd of 51
$219
MN $759UT $120
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.