How much rates vary
Facilitymedian $380 · 10th to 90th $65 to $617Professionalmedian $55 · 10th to 90th $37 to $79
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 $38.90 Median $48.98 Typical High $74.13 | Facility | None | $38.90 | $48.98 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $70.79 | Professional | None (both parts) | $38.90 | $38.90 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.47 Typical High $15.85 | Professional | 26 · Professional part | $10.23 | $10.47 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $28.18 Typical High $56.23 | Professional | TC · Technical part | $28.18 | $28.18 | $56.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $34.67 Median $40.74 Typical High $63.10 | Professional | None (both parts) | $34.67 | $40.74 | $63.10 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.00 Typical High $18.62 | Professional | 26 · Professional part | $9.12 | $10.00 | $18.62 |
BCBS South Carolina Setting Facility Modifier None Typical Low $186.21 Median $446.68 Typical High $616.60 | Facility | None | $186.21 | $446.68 | $616.60 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | TC · Technical part | $295.12 | $295.12 | $295.12 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $40.74 Median $72.44 Typical High $79.43 | Professional | None (both parts) | $40.74 | $72.44 | $79.43 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $30.90 Typical High $30.90 | Professional | 26 · Professional part | $10.00 | $30.90 | $30.90 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $41.69 Typical High $47.86 | Professional | TC · Technical part | $30.20 | $41.69 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $57.54 Typical High $81.28 | Professional | None (both parts) | $56.23 | $57.54 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $14.45 Typical High $20.42 | Professional | 26 · Professional part | $13.49 | $14.45 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $42.66 Typical High $54.95 | Professional | TC · Technical part | $40.74 | $42.66 | $54.95 |
Medcost Setting Professional Modifier None Typical Low $74.13 Median $77.62 Typical High $85.11 | Professional | None | $74.13 | $77.62 | $85.11 |
Medcost Setting Facility Modifier None Typical Low $38.90 Median $50.12 Typical High $104.71 | Facility | None | $38.90 | $50.12 | $104.71 |
Medcost Setting Professional Modifier None (both parts) Typical Low $43.65 Median $57.54 Typical High $87.10 | Professional | None (both parts) | $43.65 | $57.54 | $87.10 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $17.38 Typical High $21.88 | Professional | 26 · Professional part | $15.49 | $17.38 | $21.88 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $45.71 Typical High $61.66 | Professional | TC · Technical part | $41.69 | $45.71 | $61.66 |
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 $1,584.89 Median $1,905.46 Typical High $2,454.71 | Facility | None | $1,584.89 | $1,905.46 | $2,454.71 |
United Setting Professional Modifier None (both parts) Typical Low $45.71 Median $54.95 Typical High $85.11 | Professional | None (both parts) | $45.71 | $54.95 | $85.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $13.49 Typical High $20.42 | Professional | 26 · Professional part | $10.23 | $13.49 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $42.66 Typical High $63.10 | Professional | TC · Technical part | $33.11 | $42.66 | $63.10 |
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 $18.62 Median $19.05 Typical High $21.38 | Professional | 52 · Reduced service | $18.62 | $19.05 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.76 Typical High $8.51 | Professional | 53 · Discontinued | $7.41 | $7.76 | $8.51 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $40.74 Median $40.74 Typical High $54.95 | Professional | 59 · Distinct service | $40.74 | $40.74 | $54.95 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $26.92 Median $28.84 Typical High $44.67 | Professional | 51 · Multiple procedures | $26.92 | $28.84 | $44.67 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $10.72 Median $11.48 Typical High $17.78 | Professional | 80 · Assistant surgeon | $10.72 | $11.48 | $17.78 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.59 Median $8.13 Typical High $12.30 | Professional | 81 · Minimal assistant surgeon | $7.59 | $8.13 | $12.30 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.59 Median $8.13 Typical High $12.30 | Professional | 82 · Assistant surgeon, no resident | $7.59 | $8.13 | $12.30 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $7.59 Median $8.13 Typical High $12.30 | Professional | AS · PA/NP assist | $7.59 | $8.13 | $12.30 |
Where South Carolina sits
The same service costs 3.3 times more in Minnesota 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· 30th of 51
$56.23
MN $105UT $31.62
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.