How much rates vary
Facilitymedian $490 · 10th to 90th $195 to $741Professionalmedian $145 · 10th to 90th $110 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 $213.80 | Facility | None | $128.82 | $128.82 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $128.82 Typical High $144.54 | Professional | None (both parts) | $123.03 | $128.82 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $23.99 Typical High $24.55 | Professional | 26 · Professional part | $13.80 | $23.99 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $104.71 Typical High $123.03 | Professional | TC · Technical part | $102.33 | $104.71 | $123.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $23.99 | $39.81 | $39.81 |
BCBS South Carolina Setting Facility Modifier None Typical Low $223.87 Median $501.19 Typical High $707.95 | Facility | None | $223.87 | $501.19 | $707.95 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | TC · Technical part | $316.23 | $316.23 | $316.23 |
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 $21.88 Median $29.51 Typical High $30.20 | Professional | 26 · Professional part | $21.88 | $29.51 | $30.20 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $102.33 Typical High $162.18 | Professional | TC · Technical part | $97.72 | $102.33 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $478.63 Typical High $758.58 | Facility | None | $281.84 | $478.63 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $169.82 Typical High $245.47 | Professional | None (both parts) | $151.36 | $169.82 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $12.88 Typical High $35.48 | Professional | 26 · Professional part | $11.48 | $12.88 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $158.49 Typical High $208.93 | Professional | TC · Technical part | $128.82 | $158.49 | $208.93 |
Medcost Setting Professional Modifier None Typical Low $204.17 Median $218.78 Typical High $288.40 | Professional | None | $204.17 | $218.78 | $288.40 |
Medcost Setting Facility Modifier None Typical Low $104.71 Median $128.82 Typical High $346.74 | Facility | None | $104.71 | $128.82 | $346.74 |
Medcost Setting Professional Modifier None (both parts) Typical Low $109.65 Median $144.54 Typical High $223.87 | Professional | None (both parts) | $109.65 | $144.54 | $223.87 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $22.91 Typical High $38.90 | Professional | 26 · Professional part | $12.59 | $22.91 | $38.90 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $144.54 Typical High $169.82 | Professional | TC · Technical part | $97.72 | $144.54 | $169.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $91.20 Median $117.49 Typical High $181.97 | Professional | None (both parts) | $91.20 | $117.49 | $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 $125.89 Median $154.88 Typical High $245.47 | Professional | None (both parts) | $125.89 | $154.88 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $21.88 Typical High $31.62 | Professional | 26 · Professional part | $12.02 | $21.88 | $31.62 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $131.83 Typical High $213.80 | Professional | TC · Technical part | $107.15 | $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 $25.12 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $25.12 | $25.70 | $25.70 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $54.95 Median $89.13 Typical High $112.20 | Professional | 51 · Multiple procedures | $54.95 | $89.13 | $112.20 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $21.88 Median $35.48 Typical High $44.67 | Professional | 80 · Assistant surgeon | $21.88 | $35.48 | $44.67 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $15.49 Median $25.12 Typical High $31.62 | Professional | 81 · Minimal assistant surgeon | $15.49 | $25.12 | $31.62 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $15.49 Median $25.12 Typical High $31.62 | Professional | 82 · Assistant surgeon, no resident | $15.49 | $25.12 | $31.62 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $15.49 Median $25.12 Typical High $31.62 | Professional | AS · PA/NP assist | $15.49 | $25.12 | $31.62 |
Where South Carolina sits
The same service costs 3.7 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· 41st of 51
$145
AK $363UT $97.72
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.