How much rates vary
Facilitymedian $708 · 10th to 90th $282 to $1,096Professionalmedian $309 · 10th to 90th $195 to $457
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 $263.03 Median $263.03 Typical High $389.05 | Facility | None | $263.03 | $263.03 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $263.03 Typical High $363.08 | Professional | None (both parts) | $257.04 | $263.03 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $120.23 | Professional | 26 · Professional part | $57.54 | $57.54 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $208.93 Typical High $275.42 | Professional | TC · Technical part | $194.98 | $208.93 | $275.42 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $194.98 Median $239.88 Typical High $446.68 | Professional | None (both parts) | $194.98 | $239.88 | $446.68 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $57.54 Typical High $95.50 | Professional | 26 · Professional part | $40.74 | $57.54 | $95.50 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | TC · Technical part | $190.55 | $190.55 | $190.55 |
BCBS South Carolina Setting Facility Modifier None Typical Low $354.81 Median $691.83 Typical High $1,047.13 | Facility | None | $354.81 | $691.83 | $1,047.13 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | TC · Technical part | $389.05 | $389.05 | $389.05 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $239.88 Median $316.23 Typical High $398.11 | Professional | None (both parts) | $239.88 | $316.23 | $398.11 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $100.00 Typical High $154.88 | Professional | 26 · Professional part | $51.29 | $100.00 | $154.88 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $194.98 Typical High $263.03 | Professional | TC · Technical part | $181.97 | $194.98 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $977.24 Typical High $1,288.25 | Facility | None | $645.65 | $977.24 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $346.74 Typical High $537.03 | Professional | None (both parts) | $275.42 | $346.74 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $83.18 Typical High $125.89 | Professional | 26 · Professional part | $58.88 | $83.18 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $263.03 Typical High $416.87 | Professional | TC · Technical part | $213.80 | $263.03 | $416.87 |
Medcost Setting Facility Modifier None Typical Low $234.42 Median $269.15 Typical High $707.95 | Facility | None | $234.42 | $269.15 | $707.95 |
Medcost Setting Professional Modifier None (both parts) Typical Low $251.19 Median $354.81 Typical High $478.63 | Professional | None (both parts) | $251.19 | $354.81 | $478.63 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $114.82 Typical High $154.88 | Professional | 26 · Professional part | $93.33 | $114.82 | $154.88 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $229.09 Typical High $363.08 | Professional | TC · Technical part | $154.88 | $229.09 | $363.08 |
Molina Setting Professional Modifier None (both parts) Typical Low $50.12 Median $275.42 Typical High $446.68 | Professional | None (both parts) | $50.12 | $275.42 | $446.68 |
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 $245.47 Median $338.84 Typical High $562.34 | Professional | None (both parts) | $245.47 | $338.84 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $83.18 Typical High $134.90 | Professional | 26 · Professional part | $52.48 | $83.18 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $257.04 Typical High $426.58 | Professional | TC · Technical part | $194.98 | $257.04 | $426.58 |
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 $128.82 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $128.82 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $51.29 | $53.70 | $53.70 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $125.89 Median $186.21 Typical High $234.42 | Professional | 51 · Multiple procedures | $125.89 | $186.21 | $234.42 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $50.12 Median $74.13 Typical High $95.50 | Professional | 80 · Assistant surgeon | $50.12 | $74.13 | $95.50 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $34.67 Median $52.48 Typical High $66.07 | Professional | 81 · Minimal assistant surgeon | $34.67 | $52.48 | $66.07 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $34.67 Median $52.48 Typical High $66.07 | Professional | 82 · Assistant surgeon, no resident | $34.67 | $52.48 | $66.07 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $34.67 Median $52.48 Typical High $66.07 | Professional | AS · PA/NP assist | $34.67 | $52.48 | $66.07 |
Where South Carolina sits
The same service costs 3.3 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· 30th of 51
$316
MN $676UT $204
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.