How much rates vary
Facilitymedian $646 · 10th to 90th $240 to $1,096Professionalmedian $257 · 10th to 90th $186 to $389
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 $239.88 Median $239.88 Typical High $354.81 | Facility | None | $239.88 | $239.88 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $239.88 Typical High $316.23 | Professional | None (both parts) | $229.09 | $239.88 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.90 Typical High $50.12 | Professional | 26 · Professional part | $35.48 | $38.90 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $199.53 Typical High $275.42 | Professional | TC · Technical part | $186.21 | $199.53 | $275.42 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $177.83 Median $218.78 Typical High $309.03 | Professional | None (both parts) | $177.83 | $218.78 | $309.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $35.48 Typical High $66.07 | Professional | 26 · Professional part | $28.84 | $35.48 | $66.07 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | TC · Technical part | $186.21 | $186.21 | $186.21 |
BCBS South Carolina Setting Facility Modifier None Typical Low $354.81 Median $630.96 Typical High $1,023.29 | Facility | None | $354.81 | $630.96 | $1,023.29 |
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 $213.80 Median $229.09 Typical High $309.03 | Professional | None (both parts) | $213.80 | $229.09 | $309.03 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $53.70 Typical High $70.79 | Professional | 26 · Professional part | $35.48 | $53.70 | $70.79 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $186.21 Typical High $229.09 | Professional | TC · Technical part | $158.49 | $186.21 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $933.25 Typical High $1,288.25 | Facility | None | $645.65 | $933.25 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $281.84 Typical High $457.09 | Professional | None (both parts) | $251.19 | $281.84 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $35.48 Typical High $67.61 | Professional | 26 · Professional part | $26.30 | $35.48 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $251.19 Typical High $380.19 | Professional | TC · Technical part | $208.93 | $251.19 | $380.19 |
Medcost Setting Facility Modifier None Typical Low $173.78 Median $239.88 Typical High $630.96 | Facility | None | $173.78 | $239.88 | $630.96 |
Medcost Setting Professional Modifier None (both parts) Typical Low $186.21 Median $269.15 Typical High $338.84 | Professional | None (both parts) | $186.21 | $269.15 | $338.84 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $51.29 Typical High $87.10 | Professional | 26 · Professional part | $30.20 | $51.29 | $87.10 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $229.09 Typical High $346.74 | Professional | TC · Technical part | $154.88 | $229.09 | $346.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $50.12 Median $251.19 Typical High $398.11 | Professional | None (both parts) | $50.12 | $251.19 | $398.11 |
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 $223.87 Median $275.42 Typical High $446.68 | Professional | None (both parts) | $223.87 | $275.42 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $37.15 Typical High $60.26 | Professional | 26 · Professional part | $27.54 | $37.15 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $245.47 Typical High $407.38 | Professional | TC · Technical part | $186.21 | $245.47 | $407.38 |
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 $117.49 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $117.49 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $46.77 | $47.86 | $47.86 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $93.33 Median $165.96 Typical High $208.93 | Professional | 51 · Multiple procedures | $93.33 | $165.96 | $208.93 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $37.15 Median $67.61 Typical High $83.18 | Professional | 80 · Assistant surgeon | $37.15 | $67.61 | $83.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $25.70 Median $46.77 Typical High $57.54 | Professional | 81 · Minimal assistant surgeon | $25.70 | $46.77 | $57.54 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $25.70 Median $46.77 Typical High $57.54 | Professional | 82 · Assistant surgeon, no resident | $25.70 | $46.77 | $57.54 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $25.70 Median $46.77 Typical High $57.54 | Professional | AS · PA/NP assist | $25.70 | $46.77 | $57.54 |
Where South Carolina sits
The same service costs 3.2 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
$263
AK $603UT $191
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.