How much rates vary
Facilitymedian $1,738 · 10th to 90th $575 to $38,019Professionalmedian $603 · 10th to 90th $309 to $933
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 $575.44 Median $17,378.01 Typical High $74,131.02 | Facility | None | $575.44 | $17,378.01 | $74,131.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $575.44 Typical High $645.65 | Professional | None (both parts) | $562.34 | $575.44 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $309.03 Typical High $363.08 | Professional | 26 · Professional part | $302.00 | $309.03 | $363.08 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $263.03 Typical High $295.12 | Professional | TC · Technical part | $257.04 | $263.03 | $295.12 |
BCBS South Carolina Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $501.19 Median $676.08 Typical High $933.25 | Professional | None (both parts) | $501.19 | $676.08 | $933.25 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $389.05 Typical High $616.60 | Professional | 26 · Professional part | $288.40 | $389.05 | $616.60 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $281.84 Typical High $316.23 | Professional | TC · Technical part | $213.80 | $281.84 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $616.60 Median $707.95 Typical High $977.24 | Professional | None (both parts) | $616.60 | $707.95 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $371.54 Typical High $524.81 | Professional | 26 · Professional part | $331.13 | $371.54 | $524.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $331.13 Typical High $446.68 | Professional | TC · Technical part | $281.84 | $331.13 | $446.68 |
Medcost Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
Medcost Setting Facility Modifier None Typical Low $549.54 Median $630.96 Typical High $831.76 | Facility | None | $549.54 | $630.96 | $831.76 |
Medcost Setting Professional Modifier None (both parts) Typical Low $616.60 Median $812.83 Typical High $1,023.29 | Professional | None (both parts) | $616.60 | $812.83 | $1,023.29 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $478.63 Typical High $537.03 | Professional | 26 · Professional part | $331.13 | $478.63 | $537.03 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $426.58 Typical High $457.09 | Professional | TC · Technical part | $275.42 | $426.58 | $457.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $194.98 Median $354.81 Typical High $575.44 | Professional | None (both parts) | $194.98 | $354.81 | $575.44 |
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 $489.78 Median $645.65 Typical High $1,023.29 | Professional | None (both parts) | $489.78 | $645.65 | $1,023.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $323.59 Typical High $549.54 | Professional | 26 · Professional part | $257.04 | $323.59 | $549.54 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $331.13 Typical High $524.81 | Professional | TC · Technical part | $239.88 | $331.13 | $524.81 |
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 $281.84 Median $288.40 Typical High $288.40 | Professional | 52 · Reduced service | $281.84 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $114.82 Typical High $114.82 | Professional | 53 · Discontinued | $112.20 | $114.82 | $114.82 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $309.03 Median $446.68 Typical High $524.81 | Professional | 51 · Multiple procedures | $309.03 | $446.68 | $524.81 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $123.03 Median $181.97 Typical High $213.80 | Professional | 80 · Assistant surgeon | $123.03 | $181.97 | $213.80 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $85.11 Median $125.89 Typical High $147.91 | Professional | 81 · Minimal assistant surgeon | $85.11 | $125.89 | $147.91 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $85.11 Median $125.89 Typical High $147.91 | Professional | 82 · Assistant surgeon, no resident | $85.11 | $125.89 | $147.91 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $85.11 Median $125.89 Typical High $147.91 | Professional | AS · PA/NP assist | $85.11 | $125.89 | $147.91 |
Where South Carolina sits
The same service costs 3.0 times more in Alaska than in Hawaii. 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· 41st of 51
$617
AK $1,288HI $437
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.