How much rates vary
Facilitymedian $62 · 10th to 90th $23 to $575Professionalmedian $44 · 10th to 90th $23 to $174
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 $23.44 Median $23.44 Typical High $61.66 | Facility | None | $23.44 | $23.44 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $23.44 Typical High $56.23 | Professional | None (both parts) | $23.44 | $23.44 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $3.24 Typical High $5.50 | Professional | 26 · Professional part | $3.24 | $3.24 | $5.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $19.95 Typical High $44.67 | Professional | TC · Technical part | $19.95 | $19.95 | $44.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $24.55 Median $33.11 Typical High $40.74 | Professional | None (both parts) | $24.55 | $33.11 | $40.74 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $2.63 Median $3.63 Typical High $6.03 | Professional | 26 · Professional part | $2.63 | $3.63 | $6.03 |
BCBS South Carolina Setting Facility Modifier None Typical Low $63.10 Median $309.03 Typical High $602.56 | Facility | None | $63.10 | $309.03 | $602.56 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $21.88 Median $131.83 Typical High $173.78 | Professional | None (both parts) | $21.88 | $131.83 | $173.78 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $5.01 Typical High $32.36 | Professional | 26 · Professional part | $3.24 | $5.01 | $32.36 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $125.89 Typical High $147.91 | Professional | TC · Technical part | $18.62 | $125.89 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $85.11 Typical High $125.89 | Professional | None (both parts) | $28.18 | $85.11 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.72 Median $4.37 Typical High $6.61 | Professional | 26 · Professional part | $3.72 | $4.37 | $6.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $79.43 Typical High $117.49 | Professional | TC · Technical part | $23.99 | $79.43 | $117.49 |
Medcost Setting Facility Modifier None Typical Low $21.88 Median $25.70 Typical High $104.71 | Facility | None | $21.88 | $25.70 | $104.71 |
Medcost Setting Professional Modifier None (both parts) Typical Low $26.30 Median $40.74 Typical High $181.97 | Professional | None (both parts) | $26.30 | $40.74 | $181.97 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $3.98 Median $5.62 Typical High $14.13 | Professional | 26 · Professional part | $3.98 | $5.62 | $14.13 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $36.31 Typical High $144.54 | Professional | TC · Technical part | $30.90 | $36.31 | $144.54 |
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 $21.88 Median $34.67 Typical High $114.82 | Professional | None (both parts) | $21.88 | $34.67 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.95 Median $3.63 Typical High $6.31 | Professional | 26 · Professional part | $2.95 | $3.63 | $6.31 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $30.20 Typical High $109.65 | Professional | TC · Technical part | $18.62 | $30.20 | $109.65 |
8 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 $11.48 Median $11.75 Typical High $11.75 | Professional | 52 · Reduced service | $11.48 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.68 Typical High $4.68 | Professional | 53 · Discontinued | $4.57 | $4.68 | $4.68 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $24.55 Median $24.55 Typical High $33.11 | Professional | 59 · Distinct service | $24.55 | $24.55 | $33.11 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $16.22 Median $24.55 Typical High $91.20 | Professional | 51 · Multiple procedures | $16.22 | $24.55 | $91.20 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.46 Median $9.77 Typical High $37.15 | Professional | 80 · Assistant surgeon | $6.46 | $9.77 | $37.15 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.57 Median $6.92 Typical High $25.70 | Professional | 81 · Minimal assistant surgeon | $4.57 | $6.92 | $25.70 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.57 Median $6.92 Typical High $25.70 | Professional | 82 · Assistant surgeon, no resident | $4.57 | $6.92 | $25.70 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.57 Median $6.92 Typical High $25.70 | Professional | AS · PA/NP assist | $4.57 | $6.92 | $25.70 |
Where South Carolina sits
The same service costs 2.9 times more in Kansas 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· 19th of 51
$43.65
KS $74.13MD $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.