How much rates vary
Facilitymedian $832 · 10th to 90th $214 to $1,318Professionalmedian $65 · 10th to 90th $38 to $117
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 $61.66 Median $77.62 Typical High $169.82 | Facility | None | $61.66 | $77.62 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $61.66 Typical High $67.61 | Professional | None (both parts) | $60.26 | $61.66 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $28.84 Typical High $30.20 | Professional | 26 · Professional part | $27.54 | $28.84 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $33.11 Typical High $36.31 | Professional | TC · Technical part | $32.36 | $33.11 | $36.31 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $40.74 | $40.74 | $40.74 |
BCBS South Carolina Setting Facility Modifier None Typical Low $398.11 Median $912.01 Typical High $1,288.25 | Facility | None | $398.11 | $912.01 | $1,288.25 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | TC · Technical part | $588.84 | $588.84 | $588.84 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $66.07 Median $109.65 Typical High $117.49 | Professional | None (both parts) | $66.07 | $109.65 | $117.49 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $40.74 Typical High $44.67 | Professional | 26 · Professional part | $28.18 | $40.74 | $44.67 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $64.57 Typical High $77.62 | Professional | TC · Technical part | $38.02 | $64.57 | $77.62 |
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 $30.20 Median $58.88 Typical High $104.71 | Professional | None (both parts) | $30.20 | $58.88 | $104.71 |
Cigna 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 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $29.51 Typical High $57.54 | Professional | TC · Technical part | $28.18 | $29.51 | $57.54 |
Medcost Setting Professional Modifier None Typical Low $83.18 Median $117.49 Typical High $208.93 | Professional | None | $83.18 | $117.49 | $208.93 |
Medcost Setting Facility Modifier None Typical Low $61.66 Median $69.18 Typical High $169.82 | Facility | None | $61.66 | $69.18 | $169.82 |
Medcost Setting Professional Modifier None (both parts) Typical Low $57.54 Median $69.18 Typical High $181.97 | Professional | None (both parts) | $57.54 | $69.18 | $181.97 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $42.66 Typical High $50.12 | Professional | 26 · Professional part | $29.51 | $42.66 | $50.12 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $36.31 Typical High $53.70 | Professional | TC · Technical part | $28.18 | $36.31 | $53.70 |
Molina Setting Professional Modifier None (both parts) Typical Low $32.36 Median $56.23 Typical High $107.15 | Professional | None (both parts) | $32.36 | $56.23 | $107.15 |
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 $48.98 Median $56.23 Typical High $89.13 | Professional | None (both parts) | $48.98 | $56.23 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $28.18 Typical High $44.67 | Professional | 26 · Professional part | $23.44 | $28.18 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $28.18 Typical High $44.67 | Professional | TC · Technical part | $23.44 | $28.18 | $44.67 |
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 $30.20 Median $30.90 Typical High $30.90 | Professional | 52 · Reduced service | $30.20 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.30 Typical High $12.30 | Professional | 53 · Discontinued | $12.02 | $12.30 | $12.30 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $28.84 Median $43.65 Typical High $91.20 | Professional | 51 · Multiple procedures | $28.84 | $43.65 | $91.20 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $11.48 Median $17.38 Typical High $36.31 | Professional | 80 · Assistant surgeon | $11.48 | $17.38 | $36.31 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.13 Median $12.02 Typical High $25.70 | Professional | 81 · Minimal assistant surgeon | $8.13 | $12.02 | $25.70 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.13 Median $12.02 Typical High $25.70 | Professional | 82 · Assistant surgeon, no resident | $8.13 | $12.02 | $25.70 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $8.13 Median $12.02 Typical High $25.70 | Professional | AS · PA/NP assist | $8.13 | $12.02 | $25.70 |
Where South Carolina sits
The same service costs 3.6 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· 33rd of 51
$66.07
MN $141TX $38.90
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.