How much rates vary
Facilitymedian $398 · 10th to 90th $155 to $741Professionalmedian $145 · 10th to 90th $115 to $234
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 $151.36 Typical High $208.93 | Facility | None | $128.82 | $151.36 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $128.82 Typical High $190.55 | Professional | None (both parts) | $125.89 | $128.82 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $23.44 Typical High $30.90 | Professional | 26 · Professional part | $22.39 | $23.44 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $104.71 Typical High $158.49 | Professional | TC · Technical part | $102.33 | $104.71 | $158.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $66.07 Median $131.83 Typical High $144.54 | Professional | None (both parts) | $66.07 | $131.83 | $144.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $23.99 Typical High $39.81 | Professional | 26 · Professional part | $17.38 | $23.99 | $39.81 |
BCBS South Carolina Setting Facility Modifier None Typical Low $218.78 Median $407.38 Typical High $741.31 | Facility | None | $218.78 | $407.38 | $741.31 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | TC · Technical part | $204.17 | $204.17 | $204.17 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $120.23 Median $144.54 Typical High $204.17 | Professional | None (both parts) | $120.23 | $144.54 | $204.17 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $26.92 Typical High $36.31 | Professional | 26 · Professional part | $21.88 | $26.92 | $36.31 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $114.82 Typical High $158.49 | Professional | TC · Technical part | $97.72 | $114.82 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $467.74 Typical High $741.31 | Facility | None | $281.84 | $467.74 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $173.78 Typical High $269.15 | Professional | None (both parts) | $147.91 | $173.78 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $23.99 Typical High $40.74 | Professional | 26 · Professional part | $17.78 | $23.99 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $158.49 Typical High $229.09 | Professional | TC · Technical part | $123.03 | $158.49 | $229.09 |
Medcost Setting Facility Modifier None Typical Low $109.65 Median $134.90 Typical High $346.74 | Facility | None | $109.65 | $134.90 | $346.74 |
Medcost Setting Professional Modifier None (both parts) Typical Low $117.49 Median $165.96 Typical High $239.88 | Professional | None (both parts) | $117.49 | $165.96 | $239.88 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $34.67 Typical High $52.48 | Professional | 26 · Professional part | $20.42 | $34.67 | $52.48 |
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 $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 $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 $134.90 Median $173.78 Typical High $281.84 | Professional | None (both parts) | $134.90 | $173.78 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $23.44 Typical High $37.15 | Professional | 26 · Professional part | $18.62 | $23.44 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $151.36 Typical High $251.19 | Professional | TC · Technical part | $112.20 | $151.36 | $251.19 |
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 $63.10 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $25.12 | $25.70 | $25.70 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $58.88 Median $89.13 Typical High $120.23 | Professional | 51 · Multiple procedures | $58.88 | $89.13 | $120.23 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $23.44 Median $35.48 Typical High $47.86 | Professional | 80 · Assistant surgeon | $23.44 | $35.48 | $47.86 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.60 Median $25.12 Typical High $33.11 | Professional | 81 · Minimal assistant surgeon | $16.60 | $25.12 | $33.11 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.60 Median $25.12 Typical High $33.11 | Professional | 82 · Assistant surgeon, no resident | $16.60 | $25.12 | $33.11 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $16.60 Median $25.12 Typical High $33.11 | Professional | AS · PA/NP assist | $16.60 | $25.12 | $33.11 |
Where South Carolina sits
The same service costs 3.7 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· 41st of 51
$151
AK $355UT $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.