How much rates vary
Facilitymedian $234 · 10th to 90th $54 to $389Professionalmedian $34 · 10th to 90th $27 to $50
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 $26.92 Median $26.92 Typical High $44.67 | Facility | None | $26.92 | $26.92 | $44.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $26.92 Typical High $42.66 | Professional | None (both parts) | $26.92 | $26.92 | $42.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.32 Typical High $10.23 | Professional | 26 · Professional part | $8.13 | $8.32 | $10.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $18.20 Typical High $33.88 | Professional | TC · Technical part | $18.20 | $18.20 | $33.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.44 Median $27.54 Typical High $50.12 | Professional | None (both parts) | $23.44 | $27.54 | $50.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.91 Typical High $14.79 | Professional | 26 · Professional part | $7.41 | $8.91 | $14.79 |
BCBS South Carolina Setting Facility Modifier None Typical Low $128.82 Median $275.42 Typical High $389.05 | Facility | None | $128.82 | $275.42 | $389.05 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | TC · Technical part | $177.83 | $177.83 | $177.83 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $27.54 Median $38.90 Typical High $48.98 | Professional | None (both parts) | $27.54 | $38.90 | $48.98 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $19.50 Typical High $19.95 | Professional | 26 · Professional part | $8.13 | $19.50 | $19.95 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $19.95 Typical High $29.51 | Professional | TC · Technical part | $19.05 | $19.95 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $33.88 Typical High $51.29 | Professional | None (both parts) | $33.88 | $33.88 | $51.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.71 Typical High $13.49 | Professional | 26 · Professional part | $8.32 | $8.71 | $13.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $25.12 Typical High $34.67 | Professional | TC · Technical part | $24.55 | $25.12 | $34.67 |
Medcost Setting Professional Modifier None Typical Low $43.65 Median $45.71 Typical High $53.70 | Professional | None | $43.65 | $45.71 | $53.70 |
Medcost Setting Facility Modifier None Typical Low $26.92 Median $29.51 Typical High $72.44 | Facility | None | $26.92 | $29.51 | $72.44 |
Medcost Setting Professional Modifier None (both parts) Typical Low $30.20 Median $33.88 Typical High $51.29 | Professional | None (both parts) | $30.20 | $33.88 | $51.29 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $12.02 Typical High $14.45 | Professional | 26 · Professional part | $8.51 | $12.02 | $14.45 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $30.20 Typical High $35.48 | Professional | TC · Technical part | $24.55 | $30.20 | $35.48 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $38.90 Typical High $60.26 | Professional | None (both parts) | $30.20 | $38.90 | $60.26 |
United Setting Facility Modifier None Typical Low $912.01 Median $1,096.48 Typical High $1,445.44 | Facility | None | $912.01 | $1,096.48 | $1,445.44 |
United Setting Professional Modifier None (both parts) Typical Low $27.54 Median $33.11 Typical High $50.12 | Professional | None (both parts) | $27.54 | $33.11 | $50.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $8.32 Typical High $12.88 | Professional | 26 · Professional part | $6.92 | $8.32 | $12.88 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $24.55 Typical High $37.15 | Professional | TC · Technical part | $20.42 | $24.55 | $37.15 |
8 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 $12.88 Median $13.49 Typical High $13.80 | Professional | 52 · Reduced service | $12.88 | $13.49 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.37 Typical High $5.62 | Professional | 53 · Discontinued | $5.13 | $5.37 | $5.62 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 59 · Distinct service | $27.54 | $27.54 | $27.54 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $16.60 Median $18.62 Typical High $26.92 | Professional | 51 · Multiple procedures | $16.60 | $18.62 | $26.92 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.61 Median $7.59 Typical High $10.72 | Professional | 80 · Assistant surgeon | $6.61 | $7.59 | $10.72 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.57 Median $5.25 Typical High $7.59 | Professional | 81 · Minimal assistant surgeon | $4.57 | $5.25 | $7.59 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.57 Median $5.25 Typical High $7.59 | Professional | 82 · Assistant surgeon, no resident | $4.57 | $5.25 | $7.59 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.57 Median $5.25 Typical High $7.59 | Professional | AS · PA/NP assist | $4.57 | $5.25 | $7.59 |
Where South Carolina sits
The same service costs 2.5 times more in Minnesota than in Texas. 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· 28th of 51
$34.67
MN $67.61TX $26.92
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.