How much rates vary
Facilitymedian $1,175 · 10th to 90th $195 to $6,918Professionalmedian $195 · 10th to 90th $83 to $363
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 $194.98 Median $194.98 Typical High $54,954.09 | Facility | None | $194.98 | $194.98 | $54,954.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $190.55 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $147.91 Typical High $147.91 | Professional | 26 · Professional part | $141.25 | $147.91 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $50.12 Typical High $50.12 | Professional | TC · Technical part | $48.98 | $50.12 | $50.12 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $190.55 | Professional | None (both parts) | $181.97 | $181.97 | $190.55 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $134.90 Typical High $141.25 | Professional | 26 · Professional part | $134.90 | $134.90 | $141.25 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $48.98 | Professional | TC · Technical part | $46.77 | $46.77 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $363.08 Typical High $389.05 | Professional | None (both parts) | $251.19 | $363.08 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $234.42 Typical High $281.84 | Professional | 26 · Professional part | $186.21 | $234.42 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $128.82 Typical High $128.82 | Professional | TC · Technical part | $63.10 | $128.82 | $128.82 |
Medcost Setting Facility Modifier None Typical Low $194.98 Median $213.80 Typical High $524.81 | Facility | None | $194.98 | $213.80 | $524.81 |
Medcost Setting Professional Modifier None (both parts) Typical Low $218.78 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $218.78 | $338.84 | $338.84 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $223.87 Typical High $239.88 | Professional | 26 · Professional part | $223.87 | $223.87 | $239.88 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $81.28 | $117.49 | $117.49 |
Molina Setting Professional Modifier None (both parts) Typical Low $70.79 Median $165.96 Typical High $316.23 | Professional | None (both parts) | $70.79 | $165.96 | $316.23 |
United Setting Facility Modifier None Typical Low $446.68 Median $1,621.81 Typical High $5,128.61 | Facility | None | $446.68 | $1,621.81 | $5,128.61 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $263.03 Typical High $457.09 | Professional | None (both parts) | $162.18 | $263.03 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $177.83 Typical High $295.12 | Professional | 26 · Professional part | $120.23 | $177.83 | $295.12 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $74.13 Typical High $162.18 | Professional | TC · Technical part | $40.74 | $74.13 | $162.18 |
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 $95.50 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $95.50 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $38.02 | $38.90 | $38.90 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $138.04 Median $169.82 Typical High $169.82 | Professional | 51 · Multiple procedures | $138.04 | $169.82 | $169.82 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $54.95 Median $67.61 Typical High $69.18 | Professional | 80 · Assistant surgeon | $54.95 | $67.61 | $69.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $38.90 Median $47.86 Typical High $47.86 | Professional | 81 · Minimal assistant surgeon | $38.90 | $47.86 | $47.86 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $38.90 Median $47.86 Typical High $47.86 | Professional | 82 · Assistant surgeon, no resident | $38.90 | $47.86 | $47.86 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $38.90 Median $47.86 Typical High $47.86 | Professional | AS · PA/NP assist | $38.90 | $47.86 | $47.86 |
Where South Carolina sits
The same service costs 3.5 times more in Alaska than in Utah. 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· 46th of 51
$195
AK $468UT $132
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.