How much rates vary
Facilitymedian $1,738 · 10th to 90th $427 to $38,019Professionalmedian $437 · 10th to 90th $174 to $708
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 $426.58 Median $18,197.01 Typical High $74,131.02 | Facility | None | $426.58 | $18,197.01 | $74,131.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $436.52 | Professional | None (both parts) | $426.58 | $426.58 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $177.83 Typical High $181.97 | Professional | 26 · Professional part | $173.78 | $177.83 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | TC · Technical part | $251.19 | $251.19 | $251.19 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $309.03 Median $512.86 Typical High $707.95 | Professional | None (both parts) | $309.03 | $512.86 | $707.95 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $229.09 Typical High $389.05 | Professional | 26 · Professional part | $165.96 | $229.09 | $389.05 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $281.84 Typical High $316.23 | Professional | TC · Technical part | $144.54 | $281.84 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $549.54 Typical High $724.44 | Professional | None (both parts) | $467.74 | $549.54 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $218.78 Typical High $302.00 | Professional | 26 · Professional part | $190.55 | $218.78 | $302.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $331.13 Typical High $426.58 | Professional | TC · Technical part | $281.84 | $331.13 | $426.58 |
Medcost Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
Medcost Setting Facility Modifier None Typical Low $426.58 Median $478.63 Typical High $575.44 | Facility | None | $426.58 | $478.63 | $575.44 |
Medcost Setting Professional Modifier None (both parts) Typical Low $478.63 Median $575.44 Typical High $776.25 | Professional | None (both parts) | $478.63 | $575.44 | $776.25 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $288.40 Typical High $316.23 | Professional | 26 · Professional part | $194.98 | $288.40 | $316.23 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $416.87 Typical High $457.09 | Professional | TC · Technical part | $281.84 | $416.87 | $457.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $147.91 Median $199.53 Typical High $331.13 | Professional | None (both parts) | $147.91 | $199.53 | $331.13 |
United Setting Facility Modifier None Typical Low $446.68 Median $1,621.81 Typical High $6,918.31 | Facility | None | $446.68 | $1,621.81 | $6,918.31 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $501.19 Typical High $794.33 | Professional | None (both parts) | $380.19 | $501.19 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $190.55 Typical High $316.23 | Professional | 26 · Professional part | $147.91 | $190.55 | $316.23 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $316.23 Typical High $501.19 | Professional | TC · Technical part | $229.09 | $316.23 | $501.19 |
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 $213.80 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $87.10 | Professional | 53 · Discontinued | $85.11 | $85.11 | $87.10 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $239.88 Median $316.23 Typical High $398.11 | Professional | 51 · Multiple procedures | $239.88 | $316.23 | $398.11 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $95.50 Median $125.89 Typical High $158.49 | Professional | 80 · Assistant surgeon | $95.50 | $125.89 | $158.49 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $67.61 Median $87.10 Typical High $112.20 | Professional | 81 · Minimal assistant surgeon | $67.61 | $87.10 | $112.20 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $67.61 Median $87.10 Typical High $112.20 | Professional | 82 · Assistant surgeon, no resident | $67.61 | $87.10 | $112.20 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $67.61 Median $87.10 Typical High $112.20 | Professional | AS · PA/NP assist | $67.61 | $87.10 | $112.20 |
Where South Carolina sits
The same service costs 3.0 times more in Wisconsin than in North Carolina. 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· 42nd of 51
$457
WI $1,000NC $331
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.