How much rates vary
Facilitymedian $234 · 10th to 90th $93 to $1,738Professionalmedian $100 · 10th to 90th $74 to $120
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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $95.50 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $61.66 | $67.61 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $37.15 Typical High $37.15 | Professional | TC · Technical part | $33.88 | $37.15 | $37.15 |
BCBS South Carolina Setting Facility Modifier None Typical Low $87.10 Median $199.53 Typical High $281.84 | Facility | None | $87.10 | $199.53 | $281.84 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | TC · Technical part | $125.89 | $125.89 | $125.89 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $77.62 | Professional | None (both parts) | $74.13 | $74.13 | $77.62 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $40.74 | Professional | 26 · Professional part | $38.90 | $38.90 | $40.74 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | TC · Technical part | $35.48 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $120.23 Typical High $245.47 | Professional | None (both parts) | $102.33 | $120.23 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $77.62 Typical High $162.18 | Professional | 26 · Professional part | $67.61 | $77.62 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $41.69 Typical High $87.10 | Professional | TC · Technical part | $35.48 | $41.69 | $87.10 |
Medcost Setting Facility Modifier None Typical Low $104.71 Median $125.89 Typical High $141.25 | Facility | None | $104.71 | $125.89 | $141.25 |
Medcost Setting Professional Modifier None (both parts) Typical Low $100.00 Median $109.65 Typical High $117.49 | Professional | None (both parts) | $100.00 | $109.65 | $117.49 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $112.20 | Professional | 26 · Professional part | $72.44 | $72.44 | $112.20 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $38.90 Typical High $60.26 | Professional | TC · Technical part | $36.31 | $38.90 | $60.26 |
United Setting Facility Modifier None Typical Low $446.68 Median $1,548.82 Typical High $2,951.21 | Facility | None | $446.68 | $1,548.82 | $2,951.21 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $83.18 Typical High $141.25 | Professional | None (both parts) | $61.66 | $83.18 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $50.12 Typical High $85.11 | Professional | 26 · Professional part | $32.36 | $50.12 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $31.62 Typical High $54.95 | Professional | TC · Technical part | $25.70 | $31.62 | $54.95 |
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 55 · Aftercare only Typical Low $14.45 Median $15.49 Typical High $15.49 | Professional | 55 · Aftercare only | $14.45 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $10.47 Typical High $10.47 | Professional | 56 · Pre-op care only | $9.55 | $10.47 | $10.47 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $48.98 Median $54.95 Typical High $72.44 | Professional | 51 · Multiple procedures | $48.98 | $54.95 | $72.44 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $19.95 Median $22.39 Typical High $29.51 | Professional | 80 · Assistant surgeon | $19.95 | $22.39 | $29.51 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $13.80 Median $15.49 Typical High $20.42 | Professional | 81 · Minimal assistant surgeon | $13.80 | $15.49 | $20.42 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $13.80 Median $15.49 Typical High $20.42 | Professional | 82 · Assistant surgeon, no resident | $13.80 | $15.49 | $20.42 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $13.80 Median $15.49 Typical High $20.42 | Professional | AS · PA/NP assist | $13.80 | $15.49 | $20.42 |
Where South Carolina sits
The same service costs 4.4 times more in Minnesota than in Alabama. 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· 28th of 51
$105
MN $275AL $63.10
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.