How much rates vary
Facilitymedian $389 · 10th to 90th $245 to $1,072Professionalmedian $269 · 10th to 90th $191 to $417
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 $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $323.59 | Professional | None (both parts) | $245.47 | $245.47 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $38.90 Typical High $46.77 | Professional | 26 · Professional part | $37.15 | $38.90 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $208.93 Typical High $275.42 | Professional | TC · Technical part | $208.93 | $208.93 | $275.42 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $354.81 | Professional | None (both parts) | $234.42 | $234.42 | $354.81 |
BCBS South Carolina Setting Facility Modifier None Typical Low $245.47 Median $331.13 Typical High $776.25 | Facility | None | $245.47 | $331.13 | $776.25 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $229.09 Median $239.88 Typical High $331.13 | Professional | None (both parts) | $229.09 | $239.88 | $331.13 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $46.77 Typical High $58.88 | Professional | 26 · Professional part | $36.31 | $46.77 | $58.88 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $194.98 Typical High $281.84 | Professional | TC · Technical part | $181.97 | $194.98 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $812.83 Typical High $1,288.25 | Facility | None | $645.65 | $812.83 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $269.15 Typical High $457.09 | Professional | None (both parts) | $257.04 | $269.15 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $40.74 Typical High $69.18 | Professional | 26 · Professional part | $38.90 | $40.74 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $229.09 Typical High $389.05 | Professional | TC · Technical part | $218.78 | $229.09 | $389.05 |
Medcost Setting Facility Modifier None Typical Low $186.21 Median $269.15 Typical High $660.69 | Facility | None | $186.21 | $269.15 | $660.69 |
Medcost Setting Professional Modifier None (both parts) Typical Low $275.42 Median $295.12 Typical High $371.54 | Professional | None (both parts) | $275.42 | $295.12 | $371.54 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $77.62 | Professional | 26 · Professional part | $45.71 | $45.71 | $77.62 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $251.19 Typical High $436.52 | Professional | TC · Technical part | $251.19 | $251.19 | $436.52 |
Molina Setting Professional Modifier None (both parts) Typical Low $51.29 Median $275.42 Typical High $446.68 | Professional | None (both parts) | $51.29 | $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 $229.09 Median $269.15 Typical High $446.68 | Professional | None (both parts) | $229.09 | $269.15 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $40.74 Typical High $67.61 | Professional | 26 · Professional part | $33.11 | $40.74 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $234.42 Typical High $380.19 | Professional | TC · Technical part | $194.98 | $234.42 | $380.19 |
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 $123.03 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $48.98 | $48.98 | $48.98 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $147.91 Median $147.91 Typical High $234.42 | Professional | 51 · Multiple procedures | $147.91 | $147.91 | $234.42 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $58.88 Median $58.88 Typical High $93.33 | Professional | 80 · Assistant surgeon | $58.88 | $58.88 | $93.33 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $41.69 Median $41.69 Typical High $66.07 | Professional | 81 · Minimal assistant surgeon | $41.69 | $41.69 | $66.07 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $41.69 Median $41.69 Typical High $66.07 | Professional | 82 · Assistant surgeon, no resident | $41.69 | $41.69 | $66.07 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $41.69 Median $41.69 Typical High $66.07 | Professional | AS · PA/NP assist | $41.69 | $41.69 | $66.07 |
Where South Carolina sits
The same service costs 3.1 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· 40th of 51
$269
AK $631UT $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.