How much rates vary
Facilitymedian $339 · 10th to 90th $145 to $550Professionalmedian $170 · 10th to 90th $95 to $263
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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $120.23 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.70 Typical High $33.88 | Professional | 26 · Professional part | $25.12 | $25.70 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $104.71 Typical High $104.71 | Professional | TC · Technical part | $95.50 | $104.71 | $104.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $64.57 | $64.57 | $64.57 |
BCBS South Carolina Setting Facility Modifier None Typical Low $151.36 Median $338.84 Typical High $446.68 | Facility | None | $151.36 | $338.84 | $446.68 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | TC · Technical part | $199.53 | $199.53 | $199.53 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $134.90 Median $169.82 Typical High $218.78 | Professional | None (both parts) | $134.90 | $169.82 | $218.78 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $42.66 Typical High $64.57 | Professional | 26 · Professional part | $34.67 | $42.66 | $64.57 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $112.20 Typical High $147.91 | Professional | TC · Technical part | $97.72 | $112.20 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $489.78 Typical High $776.25 | Facility | None | $281.84 | $489.78 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $181.97 Typical High $302.00 | Professional | None (both parts) | $154.88 | $181.97 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $28.84 Typical High $51.29 | Professional | 26 · Professional part | $26.92 | $28.84 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $154.88 Typical High $251.19 | Professional | TC · Technical part | $128.82 | $154.88 | $251.19 |
Medcost Setting Facility Modifier None Typical Low $89.13 Median $128.82 Typical High $346.74 | Facility | None | $89.13 | $128.82 | $346.74 |
Medcost Setting Professional Modifier None (both parts) Typical Low $95.50 Median $194.98 Typical High $223.87 | Professional | None (both parts) | $95.50 | $194.98 | $223.87 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $47.86 Typical High $74.13 | Professional | 26 · Professional part | $32.36 | $47.86 | $74.13 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $91.20 Typical High $181.97 | Professional | TC · Technical part | $61.66 | $91.20 | $181.97 |
Molina Setting Professional Modifier None (both parts) Typical Low $50.12 Median $158.49 Typical High $275.42 | Professional | None (both parts) | $50.12 | $158.49 | $275.42 |
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 $144.54 Median $186.21 Typical High $295.12 | Professional | None (both parts) | $144.54 | $186.21 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.20 Typical High $50.12 | Professional | 26 · Professional part | $23.44 | $30.20 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $154.88 Typical High $245.47 | Professional | TC · Technical part | $123.03 | $154.88 | $245.47 |
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 $64.57 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $25.70 | $25.70 | $25.70 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $47.86 Median $109.65 Typical High $123.03 | Professional | 51 · Multiple procedures | $47.86 | $109.65 | $123.03 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $19.05 Median $43.65 Typical High $48.98 | Professional | 80 · Assistant surgeon | $19.05 | $43.65 | $48.98 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $13.18 Median $30.20 Typical High $34.67 | Professional | 81 · Minimal assistant surgeon | $13.18 | $30.20 | $34.67 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $13.18 Median $30.20 Typical High $34.67 | Professional | 82 · Assistant surgeon, no resident | $13.18 | $30.20 | $34.67 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $13.18 Median $30.20 Typical High $34.67 | Professional | AS · PA/NP assist | $13.18 | $30.20 | $34.67 |
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· 37th of 51
$170
AK $407UT $117
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.