How much rates vary
Facilitymedian $562 · 10th to 90th $219 to $7,079Professionalmedian $182 · 10th to 90th $87 to $331
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 $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $165.96 Typical High $190.55 | Professional | None (both parts) | $162.18 | $165.96 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $60.26 Typical High $66.07 | Professional | 26 · Professional part | $57.54 | $60.26 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $104.71 Typical High $123.03 | Professional | TC · Technical part | $102.33 | $104.71 | $123.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $61.66 | $61.66 | $61.66 |
BCBS South Carolina Setting Facility Modifier None Typical Low $234.42 Median $512.86 Typical High $707.95 | Facility | None | $234.42 | $512.86 | $707.95 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | TC · Technical part | $316.23 | $316.23 | $316.23 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $154.88 Median $281.84 Typical High $338.84 | Professional | None (both parts) | $154.88 | $281.84 | $338.84 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $75.86 Typical High $95.50 | Professional | 26 · Professional part | $56.23 | $75.86 | $95.50 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $208.93 Typical High $251.19 | Professional | TC · Technical part | $97.72 | $208.93 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $302.00 Typical High $562.34 | Professional | None (both parts) | $251.19 | $302.00 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $107.15 | Professional | 26 · Professional part | $52.48 | $61.66 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $239.88 Typical High $457.09 | Professional | TC · Technical part | $199.53 | $239.88 | $457.09 |
Medcost Setting Facility Modifier None Typical Low $147.91 Median $173.78 Typical High $436.52 | Facility | None | $147.91 | $173.78 | $436.52 |
Medcost Setting Professional Modifier None (both parts) Typical Low $154.88 Median $199.53 Typical High $295.12 | Professional | None (both parts) | $154.88 | $199.53 | $295.12 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $66.07 Typical High $125.89 | Professional | 26 · Professional part | $58.88 | $66.07 | $125.89 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $144.54 Typical High $181.97 | Professional | TC · Technical part | $97.72 | $144.54 | $181.97 |
Molina Setting Professional Modifier None (both parts) Typical Low $75.86 Median $131.83 Typical High $263.03 | Professional | None (both parts) | $75.86 | $131.83 | $263.03 |
United Setting Facility Modifier None Typical Low $691.83 Median $6,309.57 Typical High $9,332.54 | Facility | None | $691.83 | $6,309.57 | $9,332.54 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $302.00 Typical High $478.63 | Professional | None (both parts) | $245.47 | $302.00 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $61.66 Typical High $100.00 | Professional | 26 · Professional part | $51.29 | $61.66 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $251.19 Typical High $380.19 | Professional | TC · Technical part | $194.98 | $251.19 | $380.19 |
5 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $77.62 Median $114.82 Typical High $154.88 | Professional | 51 · Multiple procedures | $77.62 | $114.82 | $154.88 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $30.90 Median $45.71 Typical High $61.66 | Professional | 80 · Assistant surgeon | $30.90 | $45.71 | $61.66 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $21.88 Median $32.36 Typical High $43.65 | Professional | 81 · Minimal assistant surgeon | $21.88 | $32.36 | $43.65 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $21.88 Median $32.36 Typical High $43.65 | Professional | 82 · Assistant surgeon, no resident | $21.88 | $32.36 | $43.65 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $21.88 Median $32.36 Typical High $43.65 | Professional | AS · PA/NP assist | $21.88 | $32.36 | $43.65 |
Where South Carolina sits
The same service costs 7.8 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· 45th of 51
$191
AK $741UT $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.