How much rates vary
Facilitymedian $191 · 10th to 90th $174 to $240Professionalmedian $209 · 10th to 90th $102 to $363
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $173.78 Typical High $190.55 | Professional | None (both parts) | $169.82 | $173.78 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $91.20 Typical High $100.00 | Professional | 26 · Professional part | $87.10 | $91.20 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $85.11 Typical High $102.33 | Professional | TC · Technical part | $83.18 | $85.11 | $102.33 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $269.15 Median $309.03 Typical High $407.38 | Professional | None (both parts) | $269.15 | $309.03 | $407.38 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $104.71 Typical High $125.89 | Professional | 26 · Professional part | $83.18 | $104.71 | $125.89 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $181.97 Typical High $281.84 | Professional | TC · Technical part | $165.96 | $181.97 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $208.93 Typical High $363.08 | Professional | None (both parts) | $194.98 | $208.93 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $104.71 Typical High $177.83 | Professional | 26 · Professional part | $97.72 | $104.71 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $104.71 Typical High $186.21 | Professional | TC · Technical part | $95.50 | $104.71 | $186.21 |
Medcost Setting Facility Modifier None Typical Low $173.78 Median $208.93 Typical High $239.88 | Facility | None | $173.78 | $208.93 | $239.88 |
Medcost Setting Professional Modifier None (both parts) Typical Low $186.21 Median $269.15 Typical High $380.19 | Professional | None (both parts) | $186.21 | $269.15 | $380.19 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $147.91 Typical High $162.18 | Professional | 26 · Professional part | $95.50 | $147.91 | $162.18 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $138.04 Typical High $190.55 | Professional | TC · Technical part | $91.20 | $138.04 | $190.55 |
Molina Setting Professional Modifier None (both parts) Typical Low $79.43 Median $123.03 Typical High $190.55 | Professional | None (both parts) | $79.43 | $123.03 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $288.40 Typical High $457.09 | Professional | None (both parts) | $229.09 | $288.40 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $104.71 Typical High $165.96 | Professional | 26 · Professional part | $79.43 | $104.71 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $186.21 Typical High $309.03 | Professional | TC · Technical part | $147.91 | $186.21 | $309.03 |
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 $85.11 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $85.11 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $33.88 | $34.67 | $34.67 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $93.33 Median $141.25 Typical High $190.55 | Professional | 51 · Multiple procedures | $93.33 | $141.25 | $190.55 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $38.02 Median $56.23 Typical High $75.86 | Professional | 80 · Assistant surgeon | $38.02 | $56.23 | $75.86 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $26.30 Median $39.81 Typical High $52.48 | Professional | 81 · Minimal assistant surgeon | $26.30 | $39.81 | $52.48 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $26.30 Median $39.81 Typical High $52.48 | Professional | 82 · Assistant surgeon, no resident | $26.30 | $39.81 | $52.48 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $26.30 Median $39.81 Typical High $52.48 | Professional | AS · PA/NP assist | $26.30 | $39.81 | $52.48 |
Where South Carolina sits
The same service costs 3.1 times more in Alaska than in New York. 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· 45th of 51
$209
AK $537NY $174
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.