How much rates vary
Facilitymedian $603 · 10th to 90th $209 to $1,047Professionalmedian $224 · 10th to 90th $155 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 $186.21 Median $213.80 Typical High $275.42 | Facility | None | $186.21 | $213.80 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $263.03 | Professional | None (both parts) | $186.21 | $186.21 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.88 Typical High $46.77 | Professional | 26 · Professional part | $33.11 | $33.88 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $154.88 Typical High $213.80 | Professional | TC · Technical part | $151.36 | $154.88 | $213.80 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $138.04 Median $239.88 Typical High $316.23 | Professional | None (both parts) | $138.04 | $239.88 | $316.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $37.15 Typical High $57.54 | Professional | 26 · Professional part | $25.12 | $37.15 | $57.54 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $165.96 Typical High $218.78 | Professional | TC · Technical part | $112.20 | $165.96 | $218.78 |
BCBS South Carolina Setting Facility Modifier None Typical Low $295.12 Median $602.56 Typical High $1,023.29 | Facility | None | $295.12 | $602.56 | $1,023.29 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | TC · Technical part | $275.42 | $275.42 | $275.42 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $169.82 Median $234.42 Typical High $316.23 | Professional | None (both parts) | $169.82 | $234.42 | $316.23 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $63.10 Typical High $81.28 | Professional | 26 · Professional part | $30.90 | $63.10 | $81.28 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $173.78 Typical High $229.09 | Professional | TC · Technical part | $141.25 | $173.78 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $758.58 Typical High $1,288.25 | Facility | None | $645.65 | $758.58 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $223.87 Typical High $354.81 | Professional | None (both parts) | $190.55 | $223.87 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $36.31 Typical High $61.66 | Professional | 26 · Professional part | $31.62 | $36.31 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $194.98 Typical High $295.12 | Professional | TC · Technical part | $154.88 | $194.98 | $295.12 |
Medcost Setting Facility Modifier None Typical Low $165.96 Median $208.93 Typical High $501.19 | Facility | None | $165.96 | $208.93 | $501.19 |
Medcost Setting Professional Modifier None (both parts) Typical Low $190.55 Median $245.47 Typical High $288.40 | Professional | None (both parts) | $190.55 | $245.47 | $288.40 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $60.26 Typical High $79.43 | Professional | 26 · Professional part | $35.48 | $60.26 | $79.43 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $229.09 Typical High $269.15 | Professional | TC · Technical part | $154.88 | $229.09 | $269.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $50.12 Median $213.80 Typical High $338.84 | Professional | None (both parts) | $50.12 | $213.80 | $338.84 |
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 $173.78 Median $223.87 Typical High $363.08 | Professional | None (both parts) | $173.78 | $223.87 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $35.48 Typical High $58.88 | Professional | 26 · Professional part | $29.51 | $35.48 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $190.55 Typical High $309.03 | Professional | TC · Technical part | $141.25 | $190.55 | $309.03 |
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 $91.20 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $91.20 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $36.31 | $37.15 | $37.15 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $95.50 Median $134.90 Typical High $162.18 | Professional | 51 · Multiple procedures | $95.50 | $134.90 | $162.18 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $38.02 Median $53.70 Typical High $64.57 | Professional | 80 · Assistant surgeon | $38.02 | $53.70 | $64.57 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $26.30 Median $37.15 Typical High $45.71 | Professional | 81 · Minimal assistant surgeon | $26.30 | $37.15 | $45.71 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $26.30 Median $37.15 Typical High $45.71 | Professional | 82 · Assistant surgeon, no resident | $26.30 | $37.15 | $45.71 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $26.30 Median $37.15 Typical High $45.71 | Professional | AS · PA/NP assist | $26.30 | $37.15 | $45.71 |
Where South Carolina sits
The same service costs 3.5 times more in Minnesota 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· 29th of 51
$229
MN $550UT $158
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.