How much rates vary
Facilitymedian $490 · 10th to 90th $186 to $724Professionalmedian $148 · 10th to 90th $112 to $214
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 $154.88 Typical High $346.74 | Facility | None | $128.82 | $154.88 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $128.82 Typical High $213.80 | Professional | None (both parts) | $125.89 | $128.82 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $22.39 Typical High $29.51 | Professional | 26 · Professional part | $21.88 | $22.39 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $190.55 | Professional | TC · Technical part | $104.71 | $104.71 | $190.55 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $223.87 | Professional | None (both parts) | $100.00 | $100.00 | $223.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $25.70 | $38.02 | $38.02 |
BCBS South Carolina Setting Facility Modifier None Typical Low $223.87 Median $512.86 Typical High $724.44 | Facility | None | $223.87 | $512.86 | $724.44 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | TC · Technical part | $302.00 | $302.00 | $302.00 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $123.03 Median $144.54 Typical High $194.98 | Professional | None (both parts) | $123.03 | $144.54 | $194.98 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $42.66 Typical High $58.88 | Professional | 26 · Professional part | $20.89 | $42.66 | $58.88 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $104.71 Typical High $141.25 | Professional | TC · Technical part | $97.72 | $104.71 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $512.86 Typical High $831.76 | Facility | None | $416.87 | $512.86 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $169.82 Typical High $245.47 | Professional | None (both parts) | $134.90 | $169.82 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $23.44 Typical High $41.69 | Professional | 26 · Professional part | $20.89 | $23.44 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $147.91 Typical High $208.93 | Professional | TC · Technical part | $109.65 | $147.91 | $208.93 |
Medcost Setting Facility Modifier None Typical Low $120.23 Median $141.25 Typical High $346.74 | Facility | None | $120.23 | $141.25 | $346.74 |
Medcost Setting Professional Modifier None (both parts) Typical Low $144.54 Median $177.83 Typical High $213.80 | Professional | None (both parts) | $144.54 | $177.83 | $213.80 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $38.90 Typical High $52.48 | Professional | 26 · Professional part | $23.44 | $38.90 | $52.48 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $177.83 Typical High $245.47 | Professional | TC · Technical part | $154.88 | $177.83 | $245.47 |
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 $912.01 Median $1,096.48 Typical High $1,445.44 | Facility | None | $912.01 | $1,096.48 | $1,445.44 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $162.18 Typical High $263.03 | Professional | None (both parts) | $120.23 | $162.18 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $22.91 Typical High $38.90 | Professional | 26 · Professional part | $19.50 | $22.91 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $141.25 Typical High $229.09 | Professional | TC · Technical part | $100.00 | $141.25 | $229.09 |
8 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 $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $61.66 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $24.55 | $25.70 | $25.70 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 59 · Distinct service | $123.03 | $123.03 | $123.03 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $89.13 Median $91.20 Typical High $123.03 | Professional | 51 · Multiple procedures | $89.13 | $91.20 | $123.03 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $35.48 Median $36.31 Typical High $48.98 | Professional | 80 · Assistant surgeon | $35.48 | $36.31 | $48.98 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $25.12 Median $25.70 Typical High $33.88 | Professional | 81 · Minimal assistant surgeon | $25.12 | $25.70 | $33.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $25.12 Median $25.70 Typical High $33.88 | Professional | 82 · Assistant surgeon, no resident | $25.12 | $25.70 | $33.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $25.12 Median $25.70 Typical High $33.88 | Professional | AS · PA/NP assist | $25.12 | $25.70 | $33.88 |
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· 33rd of 51
$155
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.