How much rates vary
Facilitymedian $186 · 10th to 90th $129 to $501Professionalmedian $148 · 10th to 90th $115 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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $125.89 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $24.55 Typical High $24.55 | Professional | 26 · Professional part | $23.99 | $24.55 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $104.71 Typical High $104.71 | Professional | TC · Technical part | $102.33 | $104.71 | $104.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 26 · Professional part | $20.89 | $20.89 | $20.89 |
BCBS South Carolina Setting Facility Modifier None Typical Low $117.49 Median $154.88 Typical High $371.54 | Facility | None | $117.49 | $154.88 | $371.54 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $120.23 Median $131.83 Typical High $190.55 | Professional | None (both parts) | $120.23 | $131.83 | $190.55 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $30.20 Typical High $38.02 | Professional | 26 · Professional part | $22.39 | $30.20 | $38.02 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $104.71 Typical High $162.18 | Professional | TC · Technical part | $97.72 | $104.71 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $446.68 Typical High $758.58 | Facility | None | $281.84 | $446.68 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $158.49 Typical High $263.03 | Professional | None (both parts) | $151.36 | $158.49 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $25.70 Typical High $44.67 | Professional | 26 · Professional part | $24.55 | $25.70 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $131.83 Typical High $218.78 | Professional | TC · Technical part | $125.89 | $131.83 | $218.78 |
Medcost Setting Facility Modifier None Typical Low $89.13 Median $151.36 Typical High $346.74 | Facility | None | $89.13 | $151.36 | $346.74 |
Medcost Setting Professional Modifier None (both parts) Typical Low $144.54 Median $151.36 Typical High $190.55 | Professional | None (both parts) | $144.54 | $151.36 | $190.55 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $47.86 | Professional | 26 · Professional part | $28.84 | $28.84 | $47.86 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $208.93 | Professional | TC · Technical part | $123.03 | $123.03 | $208.93 |
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 $131.83 Median $158.49 Typical High $257.04 | Professional | None (both parts) | $131.83 | $158.49 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.70 Typical High $42.66 | Professional | 26 · Professional part | $21.38 | $25.70 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $131.83 Typical High $213.80 | Professional | TC · Technical part | $112.20 | $131.83 | $213.80 |
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 $63.10 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $63.10 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $25.70 | $25.70 | $25.70 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $75.86 Median $75.86 Typical High $120.23 | Professional | 51 · Multiple procedures | $75.86 | $75.86 | $120.23 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $30.20 Median $30.20 Typical High $47.86 | Professional | 80 · Assistant surgeon | $30.20 | $30.20 | $47.86 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $20.89 Median $20.89 Typical High $33.11 | Professional | 81 · Minimal assistant surgeon | $20.89 | $20.89 | $33.11 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $20.89 Median $20.89 Typical High $33.11 | Professional | 82 · Assistant surgeon, no resident | $20.89 | $20.89 | $33.11 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $20.89 Median $20.89 Typical High $33.11 | Professional | AS · PA/NP assist | $20.89 | $20.89 | $33.11 |
Where South Carolina sits
The same service costs 3.8 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· 39th of 51
$151
AK $363UT $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.