How much rates vary
Facilitymedian $1,622 · 10th to 90th $575 to $3,631Professionalmedian $372 · 10th to 90th $162 to $617
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 $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $524.81 Typical High $676.08 | Professional | None (both parts) | $489.78 | $524.81 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $128.82 Typical High $165.96 | Professional | 26 · Professional part | $125.89 | $128.82 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $489.78 Typical High $630.96 | Professional | TC · Technical part | $457.09 | $489.78 | $630.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 26 · Professional part | $131.83 | $131.83 | $131.83 |
BCBS South Carolina Setting Facility Modifier None Typical Low $912.01 Median $1,862.09 Typical High $3,715.35 | Facility | None | $912.01 | $1,862.09 | $3,715.35 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | TC · Technical part | $660.69 | $660.69 | $660.69 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $363.08 Median $371.54 Typical High $562.34 | Professional | None (both parts) | $363.08 | $371.54 | $562.34 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $186.21 Typical High $239.88 | Professional | 26 · Professional part | $120.23 | $186.21 | $239.88 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $177.83 Typical High $398.11 | Professional | TC · Technical part | $173.78 | $177.83 | $398.11 |
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 $288.40 Median $338.84 Typical High $512.86 | Professional | None (both parts) | $288.40 | $338.84 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $169.82 Typical High $257.04 | Professional | 26 · Professional part | $147.91 | $169.82 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $169.82 Typical High $245.47 | Professional | TC · Technical part | $141.25 | $169.82 | $245.47 |
Medcost Setting Facility Modifier None Typical Low $309.03 Median $575.44 Typical High $707.95 | Facility | None | $309.03 | $575.44 | $707.95 |
Medcost Setting Professional Modifier None (both parts) Typical Low $446.68 Median $588.84 Typical High $851.14 | Professional | None (both parts) | $446.68 | $588.84 | $851.14 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $223.87 Typical High $245.47 | Professional | 26 · Professional part | $151.36 | $223.87 | $245.47 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $575.44 Typical High $851.14 | Professional | TC · Technical part | $229.09 | $575.44 | $851.14 |
Molina Setting Professional Modifier None (both parts) Typical Low $134.90 Median $169.82 Typical High $257.04 | Professional | None (both parts) | $134.90 | $169.82 | $257.04 |
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 $331.13 Median $537.03 Typical High $891.25 | Professional | None (both parts) | $331.13 | $537.03 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $151.36 Typical High $251.19 | Professional | 26 · Professional part | $117.49 | $151.36 | $251.19 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $389.05 Typical High $691.83 | Professional | TC · Technical part | $177.83 | $389.05 | $691.83 |
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 $245.47 Median $263.03 Typical High $263.03 | Professional | 52 · Reduced service | $245.47 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $97.72 | $104.71 | $104.71 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $223.87 Median $309.03 Typical High $457.09 | Professional | 51 · Multiple procedures | $223.87 | $309.03 | $457.09 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $89.13 Median $123.03 Typical High $181.97 | Professional | 80 · Assistant surgeon | $89.13 | $123.03 | $181.97 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $61.66 Median $87.10 Typical High $125.89 | Professional | 81 · Minimal assistant surgeon | $61.66 | $87.10 | $125.89 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $61.66 Median $87.10 Typical High $125.89 | Professional | 82 · Assistant surgeon, no resident | $61.66 | $87.10 | $125.89 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $61.66 Median $87.10 Typical High $125.89 | Professional | AS · PA/NP assist | $61.66 | $87.10 | $125.89 |
Where South Carolina sits
The same service costs 3.1 times more in Alaska than in Washington. 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· 46th of 51
$372
AK $1,000WA $324
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.