How much rates vary
Facilitymedian $32 · 10th to 90th $25 to $89Professionalmedian $43 · 10th to 90th $25 to $85
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 $25.12 Median $25.12 Typical High $61.66 | Facility | None | $25.12 | $25.12 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $47.86 | Professional | None (both parts) | $25.12 | $25.12 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $7.41 Typical High $11.48 | Professional | 26 · Professional part | $7.24 | $7.41 | $11.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $17.78 Typical High $33.88 | Professional | TC · Technical part | $17.78 | $17.78 | $33.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $26.30 Median $36.31 Typical High $43.65 | Professional | None (both parts) | $26.30 | $36.31 | $43.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.00 Typical High $13.18 | Professional | 26 · Professional part | $7.94 | $10.00 | $13.18 |
BCBS South Carolina Setting Facility Modifier None Typical Low $89.13 Median $104.71 Typical High $158.49 | Facility | None | $89.13 | $104.71 | $158.49 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $23.99 Median $66.07 Typical High $85.11 | Professional | None (both parts) | $23.99 | $66.07 | $85.11 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $16.98 Typical High $21.88 | Professional | 26 · Professional part | $7.08 | $16.98 | $21.88 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $48.98 Typical High $64.57 | Professional | TC · Technical part | $16.60 | $48.98 | $64.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $45.71 Typical High $63.10 | Professional | None (both parts) | $30.20 | $45.71 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.33 Typical High $14.45 | Professional | 26 · Professional part | $8.13 | $9.33 | $14.45 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $36.31 Typical High $50.12 | Professional | TC · Technical part | $21.88 | $36.31 | $50.12 |
Medcost Setting Facility Modifier None Typical Low $25.12 Median $27.54 Typical High $66.07 | Facility | None | $25.12 | $27.54 | $66.07 |
Medcost Setting Professional Modifier None (both parts) Typical Low $28.18 Median $39.81 Typical High $81.28 | Professional | None (both parts) | $28.18 | $39.81 | $81.28 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $12.88 Typical High $17.78 | Professional | 26 · Professional part | $8.51 | $12.88 | $17.78 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $28.84 Typical High $60.26 | Professional | TC · Technical part | $21.88 | $28.84 | $60.26 |
Molina Setting Professional Modifier None (both parts) Typical Low $31.62 Median $41.69 Typical High $60.26 | Professional | None (both parts) | $31.62 | $41.69 | $60.26 |
United Setting Professional Modifier None (both parts) Typical Low $23.44 Median $33.88 Typical High $69.18 | Professional | None (both parts) | $23.44 | $33.88 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $8.32 Typical High $13.49 | Professional | 26 · Professional part | $6.46 | $8.32 | $13.49 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $23.99 Typical High $48.98 | Professional | TC · Technical part | $16.60 | $23.99 | $48.98 |
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 $12.30 Median $12.59 Typical High $12.59 | Professional | 52 · Reduced service | $12.30 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $5.01 Typical High $5.01 | Professional | 53 · Discontinued | $4.90 | $5.01 | $5.01 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $15.14 Median $26.30 Typical High $40.74 | Professional | 51 · Multiple procedures | $15.14 | $26.30 | $40.74 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.03 Median $10.47 Typical High $16.22 | Professional | 80 · Assistant surgeon | $6.03 | $10.47 | $16.22 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.27 Median $7.41 Typical High $11.48 | Professional | 81 · Minimal assistant surgeon | $4.27 | $7.41 | $11.48 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.27 Median $7.41 Typical High $11.48 | Professional | 82 · Assistant surgeon, no resident | $4.27 | $7.41 | $11.48 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.27 Median $7.41 Typical High $11.48 | Professional | AS · PA/NP assist | $4.27 | $7.41 | $11.48 |
Where South Carolina sits
The same service costs 2.7 times more in Minnesota than in Maryland. 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· 21st of 51
$41.69
MN $69.18MD $25.70
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.