How much rates vary
Facilitymedian $389 · 10th to 90th $138 to $661Professionalmedian $148 · 10th to 90th $107 to $204
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 $120.23 Median $134.90 Typical High $173.78 | Facility | None | $120.23 | $134.90 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $120.23 Typical High $165.96 | Professional | None (both parts) | $117.49 | $120.23 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.88 Typical High $30.90 | Professional | 26 · Professional part | $21.38 | $21.88 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $97.72 Typical High $138.04 | Professional | TC · Technical part | $95.50 | $97.72 | $138.04 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $87.10 Median $107.15 Typical High $169.82 | Professional | None (both parts) | $87.10 | $107.15 | $169.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $21.88 Typical High $36.31 | Professional | 26 · Professional part | $15.85 | $21.88 | $36.31 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $123.03 | Professional | TC · Technical part | $89.13 | $89.13 | $123.03 |
BCBS South Carolina Setting Facility Modifier None Typical Low $218.78 Median $426.58 Typical High $691.83 | Facility | None | $218.78 | $426.58 | $691.83 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | TC · Technical part | $218.78 | $218.78 | $218.78 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $107.15 Median $158.49 Typical High $213.80 | Professional | None (both parts) | $107.15 | $158.49 | $213.80 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $32.36 Typical High $41.69 | Professional | 26 · Professional part | $19.95 | $32.36 | $41.69 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $125.89 Typical High $169.82 | Professional | TC · Technical part | $89.13 | $125.89 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $446.68 Typical High $602.56 | Facility | None | $281.84 | $446.68 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $151.36 Typical High $229.09 | Professional | None (both parts) | $120.23 | $151.36 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $23.44 Typical High $39.81 | Professional | 26 · Professional part | $20.89 | $23.44 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $128.82 Typical High $186.21 | Professional | TC · Technical part | $97.72 | $128.82 | $186.21 |
Medcost Setting Facility Modifier None Typical Low $112.20 Median $128.82 Typical High $316.23 | Facility | None | $112.20 | $128.82 | $316.23 |
Medcost Setting Professional Modifier None (both parts) Typical Low $120.23 Median $169.82 Typical High $229.09 | Professional | None (both parts) | $120.23 | $169.82 | $229.09 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $36.31 Typical High $52.48 | Professional | 26 · Professional part | $23.99 | $36.31 | $52.48 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $144.54 Typical High $177.83 | Professional | TC · Technical part | $97.72 | $144.54 | $177.83 |
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 $107.15 Median $147.91 Typical High $245.47 | Professional | None (both parts) | $107.15 | $147.91 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $22.91 Typical High $38.02 | Professional | 26 · Professional part | $19.50 | $22.91 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $125.89 Typical High $208.93 | Professional | TC · Technical part | $89.13 | $125.89 | $208.93 |
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 $57.54 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $57.54 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $23.44 | $23.99 | $23.99 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $60.26 Median $91.20 Typical High $114.82 | Professional | 51 · Multiple procedures | $60.26 | $91.20 | $114.82 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $23.99 Median $38.90 Typical High $45.71 | Professional | 80 · Assistant surgeon | $23.99 | $38.90 | $45.71 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.98 Median $27.54 Typical High $32.36 | Professional | 81 · Minimal assistant surgeon | $16.98 | $27.54 | $32.36 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.98 Median $27.54 Typical High $32.36 | Professional | 82 · Assistant surgeon, no resident | $16.98 | $27.54 | $32.36 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $16.98 Median $27.54 Typical High $32.36 | Professional | AS · PA/NP assist | $16.98 | $27.54 | $32.36 |
Where South Carolina sits
The same service costs 4.0 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· 26th of 51
$151
MN $380UT $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.