How much rates vary
Facilitymedian $537 · 10th to 90th $282 to $1,000Professionalmedian $145 · 10th to 90th $112 to $209
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 $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $190.55 | Professional | None (both parts) | $123.03 | $123.03 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $24.55 Typical High $27.54 | Professional | 26 · Professional part | $22.39 | $24.55 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $100.00 Typical High $169.82 | Professional | TC · Technical part | $97.72 | $100.00 | $169.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $32.36 | $41.69 | $41.69 |
BCBS South Carolina Setting Facility Modifier None Typical Low $323.59 Median $602.56 Typical High $1,000.00 | Facility | None | $323.59 | $602.56 | $1,000.00 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | TC · Technical part | $223.87 | $223.87 | $223.87 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $114.82 Median $141.25 Typical High $199.53 | Professional | None (both parts) | $114.82 | $141.25 | $199.53 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.92 Typical High $35.48 | Professional | 26 · Professional part | $22.91 | $26.92 | $35.48 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $114.82 Typical High $165.96 | Professional | TC · Technical part | $93.33 | $114.82 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $446.68 Typical High $616.60 | Facility | None | $281.84 | $446.68 | $616.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $147.91 Typical High $239.88 | Professional | None (both parts) | $128.82 | $147.91 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $22.91 Typical High $42.66 | Professional | 26 · Professional part | $18.62 | $22.91 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $128.82 Typical High $199.53 | Professional | TC · Technical part | $102.33 | $128.82 | $199.53 |
Medcost Setting Facility Modifier None Typical Low $120.23 Median $134.90 Typical High $331.13 | Facility | None | $120.23 | $134.90 | $331.13 |
Medcost Setting Professional Modifier None (both parts) Typical Low $138.04 Median $165.96 Typical High $223.87 | Professional | None (both parts) | $138.04 | $165.96 | $223.87 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $36.31 Typical High $54.95 | Professional | 26 · Professional part | $20.89 | $36.31 | $54.95 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $194.98 Typical High $218.78 | Professional | TC · Technical part | $138.04 | $194.98 | $218.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $95.50 Median $125.89 Typical High $181.97 | Professional | None (both parts) | $95.50 | $125.89 | $181.97 |
United Setting Facility Modifier None Typical Low $436.52 Median $537.03 Typical High $691.83 | Facility | None | $436.52 | $537.03 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $147.91 Typical High $239.88 | Professional | None (both parts) | $114.82 | $147.91 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $23.99 Typical High $38.90 | Professional | 26 · Professional part | $19.05 | $23.99 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $125.89 Typical High $208.93 | Professional | TC · Technical part | $93.33 | $125.89 | $208.93 |
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 $61.66 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $24.55 | $24.55 | $24.55 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $79.43 Median $100.00 Typical High $117.49 | Professional | 51 · Multiple procedures | $79.43 | $100.00 | $117.49 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $31.62 Median $39.81 Typical High $46.77 | Professional | 80 · Assistant surgeon | $31.62 | $39.81 | $46.77 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $22.39 Median $27.54 Typical High $32.36 | Professional | 81 · Minimal assistant surgeon | $22.39 | $27.54 | $32.36 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $22.39 Median $27.54 Typical High $32.36 | Professional | 82 · Assistant surgeon, no resident | $22.39 | $27.54 | $32.36 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $22.39 Median $27.54 Typical High $32.36 | Professional | AS · PA/NP assist | $22.39 | $27.54 | $32.36 |
Where South Carolina sits
The same service costs 3.3 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· 34th of 51
$148
AK $316UT $95.50
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.