How much rates vary
Facilitymedian $537 · 10th to 90th $282 to $1,000Professionalmedian $120 · 10th to 90th $74 to $282
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 $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $117.49 Typical High $190.55 | Professional | None (both parts) | $112.20 | $117.49 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $61.66 Typical High $75.86 | Professional | 26 · Professional part | $58.88 | $61.66 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $125.89 | Professional | TC · Technical part | $56.23 | $56.23 | $125.89 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $162.18 | $162.18 | $162.18 |
BCBS South Carolina Setting Facility Modifier None Typical Low $331.13 Median $630.96 Typical High $1,000.00 | Facility | None | $331.13 | $630.96 | $1,000.00 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | TC · Technical part | $229.09 | $229.09 | $229.09 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $114.82 Median $213.80 Typical High $323.59 | Professional | None (both parts) | $114.82 | $213.80 | $323.59 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $107.15 Typical High $138.04 | Professional | 26 · Professional part | $58.88 | $107.15 | $138.04 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $107.15 Typical High $190.55 | Professional | TC · Technical part | $56.23 | $107.15 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $331.13 Typical High $562.34 | Facility | None | $281.84 | $331.13 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $158.49 Typical High $251.19 | Professional | None (both parts) | $125.89 | $158.49 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $64.57 Typical High $109.65 | Professional | 26 · Professional part | $57.54 | $64.57 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $100.00 Typical High $138.04 | Professional | TC · Technical part | $60.26 | $100.00 | $138.04 |
Medcost Setting Facility Modifier None Typical Low $117.49 Median $158.49 Typical High $316.23 | Facility | None | $117.49 | $158.49 | $316.23 |
Medcost Setting Professional Modifier None (both parts) Typical Low $131.83 Median $190.55 Typical High $371.54 | Professional | None (both parts) | $131.83 | $190.55 | $371.54 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $107.15 Typical High $141.25 | Professional | 26 · Professional part | $66.07 | $107.15 | $141.25 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $134.90 Typical High $162.18 | Professional | TC · Technical part | $93.33 | $134.90 | $162.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $66.07 Median $102.33 Typical High $158.49 | Professional | None (both parts) | $66.07 | $102.33 | $158.49 |
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 $109.65 Median $158.49 Typical High $269.15 | Professional | None (both parts) | $109.65 | $158.49 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $107.15 | Professional | 26 · Professional part | $53.70 | $64.57 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $91.20 Typical High $154.88 | Professional | TC · Technical part | $53.70 | $91.20 | $154.88 |
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 $56.23 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $56.23 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $22.39 | $23.44 | $23.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $83.18 Median $123.03 Typical High $186.21 | Professional | 51 · Multiple procedures | $83.18 | $123.03 | $186.21 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $33.11 Median $50.12 Typical High $74.13 | Professional | 80 · Assistant surgeon | $33.11 | $50.12 | $74.13 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $22.91 Median $34.67 Typical High $52.48 | Professional | 81 · Minimal assistant surgeon | $22.91 | $34.67 | $52.48 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $22.91 Median $34.67 Typical High $52.48 | Professional | 82 · Assistant surgeon, no resident | $22.91 | $34.67 | $52.48 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $22.91 Median $34.67 Typical High $52.48 | Professional | AS · PA/NP assist | $22.91 | $34.67 | $52.48 |
Where South Carolina sits
The same service costs 4.6 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· 46th of 51
$126
AK $316UT $69.18
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.