How much rates vary
Facilitymedian $631 · 10th to 90th $148 to $1,445Professionalmedian $112 · 10th to 90th $66 to $178
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 $97.72 Median $117.49 Typical High $151.36 | Facility | None | $97.72 | $117.49 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $154.88 | Professional | None (both parts) | $97.72 | $97.72 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $39.81 | Professional | 26 · Professional part | $25.70 | $25.70 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $120.23 | Professional | TC · Technical part | $72.44 | $72.44 | $120.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $104.71 Median $131.83 Typical High $173.78 | Professional | None (both parts) | $104.71 | $131.83 | $173.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $33.88 Typical High $44.67 | Professional | 26 · Professional part | $19.50 | $33.88 | $44.67 |
BCBS South Carolina Setting Facility Modifier None Typical Low $251.19 Median $691.83 Typical High $1,479.11 | Facility | None | $251.19 | $691.83 | $1,479.11 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | TC · Technical part | $309.03 | $309.03 | $309.03 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $95.50 Median $141.25 Typical High $186.21 | Professional | None (both parts) | $95.50 | $141.25 | $186.21 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $54.95 Typical High $70.79 | Professional | 26 · Professional part | $23.99 | $54.95 | $70.79 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $87.10 Typical High $112.20 | Professional | TC · Technical part | $70.79 | $87.10 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $125.89 Typical High $199.53 | Professional | None (both parts) | $107.15 | $125.89 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $32.36 Typical High $51.29 | Professional | 26 · Professional part | $28.18 | $32.36 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $95.50 Typical High $147.91 | Professional | TC · Technical part | $77.62 | $95.50 | $147.91 |
Medcost Setting Facility Modifier None Typical Low $95.50 Median $107.15 Typical High $263.03 | Facility | None | $95.50 | $107.15 | $263.03 |
Medcost Setting Professional Modifier None (both parts) Typical Low $104.71 Median $151.36 Typical High $190.55 | Professional | None (both parts) | $104.71 | $151.36 | $190.55 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $47.86 Typical High $63.10 | Professional | 26 · Professional part | $29.51 | $47.86 | $63.10 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $117.49 Typical High $125.89 | Professional | TC · Technical part | $74.13 | $117.49 | $125.89 |
Molina Setting Professional Modifier None (both parts) Typical Low $50.12 Median $100.00 Typical High $165.96 | Professional | None (both parts) | $50.12 | $100.00 | $165.96 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,202.26 Typical High $1,584.89 | Facility | None | $1,000.00 | $1,202.26 | $1,584.89 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $112.20 Typical High $181.97 | Professional | None (both parts) | $87.10 | $112.20 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.84 Typical High $47.86 | Professional | 26 · Professional part | $22.39 | $28.84 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $83.18 Typical High $131.83 | Professional | TC · Technical part | $64.57 | $83.18 | $131.83 |
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 $47.86 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $47.86 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $19.05 | $19.50 | $19.50 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $52.48 Median $81.28 Typical High $95.50 | Professional | 51 · Multiple procedures | $52.48 | $81.28 | $95.50 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $20.89 Median $32.36 Typical High $38.02 | Professional | 80 · Assistant surgeon | $20.89 | $32.36 | $38.02 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $14.45 Median $22.91 Typical High $26.30 | Professional | 81 · Minimal assistant surgeon | $14.45 | $22.91 | $26.30 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $14.45 Median $22.91 Typical High $26.30 | Professional | 82 · Assistant surgeon, no resident | $14.45 | $22.91 | $26.30 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $14.45 Median $22.91 Typical High $26.30 | Professional | AS · PA/NP assist | $14.45 | $22.91 | $26.30 |
Where South Carolina sits
The same service costs 3.8 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· 40th of 51
$117
MN $275UT $72.44
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.