How much rates vary
Facilitymedian $813 · 10th to 90th $339 to $1,259Professionalmedian $282 · 10th to 90th $204 to $447
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 $263.03 Median $269.15 Typical High $269.15 | Facility | None | $263.03 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $269.15 Typical High $316.23 | Professional | None (both parts) | $251.19 | $269.15 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $46.77 Typical High $56.23 | Professional | 26 · Professional part | $45.71 | $46.77 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $223.87 Typical High $263.03 | Professional | TC · Technical part | $194.98 | $223.87 | $263.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $204.17 | $204.17 | $204.17 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $48.98 | Professional | 26 · Professional part | $35.48 | $35.48 | $48.98 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | TC · Technical part | $208.93 | $208.93 | $208.93 |
BCBS South Carolina Setting Facility Modifier None Typical Low $354.81 Median $812.83 Typical High $1,096.48 | Facility | None | $354.81 | $812.83 | $1,096.48 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | TC · Technical part | $489.78 | $489.78 | $489.78 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $251.19 Median $263.03 Typical High $346.74 | Professional | None (both parts) | $251.19 | $263.03 | $346.74 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $79.43 Typical High $100.00 | Professional | 26 · Professional part | $43.65 | $79.43 | $100.00 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $208.93 Typical High $239.88 | Professional | TC · Technical part | $173.78 | $208.93 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,000.00 Typical High $1,318.26 | Facility | None | $645.65 | $1,000.00 | $1,318.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $288.40 Typical High $512.86 | Professional | None (both parts) | $269.15 | $288.40 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $48.98 Typical High $85.11 | Professional | 26 · Professional part | $43.65 | $48.98 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $234.42 Typical High $426.58 | Professional | TC · Technical part | $218.78 | $234.42 | $426.58 |
Medcost Setting Facility Modifier None Typical Low $190.55 Median $269.15 Typical High $724.44 | Facility | None | $190.55 | $269.15 | $724.44 |
Medcost Setting Professional Modifier None (both parts) Typical Low $204.17 Median $302.00 Typical High $346.74 | Professional | None (both parts) | $204.17 | $302.00 | $346.74 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $81.28 Typical High $112.20 | Professional | 26 · Professional part | $48.98 | $81.28 | $112.20 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $229.09 Typical High $363.08 | Professional | TC · Technical part | $154.88 | $229.09 | $363.08 |
Molina Setting Professional Modifier None (both parts) Typical Low $50.12 Median $295.12 Typical High $457.09 | Professional | None (both parts) | $50.12 | $295.12 | $457.09 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,202.26 Typical High $1,584.89 | Facility | None | $1,000.00 | $1,202.26 | $1,584.89 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $295.12 Typical High $478.63 | Professional | None (both parts) | $239.88 | $295.12 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $48.98 Typical High $81.28 | Professional | 26 · Professional part | $40.74 | $48.98 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $245.47 Typical High $398.11 | Professional | TC · Technical part | $199.53 | $245.47 | $398.11 |
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 $131.83 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $131.83 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $52.48 | $53.70 | $53.70 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $102.33 Median $169.82 Typical High $190.55 | Professional | 51 · Multiple procedures | $102.33 | $169.82 | $190.55 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $40.74 Median $67.61 Typical High $75.86 | Professional | 80 · Assistant surgeon | $40.74 | $67.61 | $75.86 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $28.18 Median $46.77 Typical High $52.48 | Professional | 81 · Minimal assistant surgeon | $28.18 | $46.77 | $52.48 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $28.18 Median $46.77 Typical High $52.48 | Professional | 82 · Assistant surgeon, no resident | $28.18 | $46.77 | $52.48 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $28.18 Median $46.77 Typical High $52.48 | Professional | AS · PA/NP assist | $28.18 | $46.77 | $52.48 |
Where South Carolina sits
The same service costs 3.0 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· 36th of 51
$288
AK $646UT $214
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.