How much rates vary
Facilitymedian $282 · 10th to 90th $100 to $407Professionalmedian $40 · 10th to 90th $34 to $56
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 $38.90 Typical High $48.98 | Facility | None | $38.90 | $38.90 | $48.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $38.90 Typical High $42.66 | Professional | None (both parts) | $37.15 | $38.90 | $42.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.79 Typical High $15.85 | Professional | 26 · Professional part | $14.13 | $14.79 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $23.44 Typical High $27.54 | Professional | TC · Technical part | $22.91 | $23.44 | $27.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $43.65 Median $54.95 Typical High $72.44 | Professional | None (both parts) | $43.65 | $54.95 | $72.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.49 Typical High $19.50 | Professional | 26 · Professional part | $15.49 | $15.49 | $19.50 |
BCBS South Carolina Setting Facility Modifier None Typical Low $128.82 Median $288.40 Typical High $407.38 | Facility | None | $128.82 | $288.40 | $407.38 |
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 $39.81 Median $40.74 Typical High $45.71 | Professional | None (both parts) | $39.81 | $40.74 | $45.71 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $18.20 Typical High $23.99 | Professional | 26 · Professional part | $14.13 | $18.20 | $23.99 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $22.39 Typical High $25.70 | Professional | TC · Technical part | $21.88 | $22.39 | $25.70 |
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 $36.31 Median $37.15 Typical High $61.66 | Professional | None (both parts) | $36.31 | $37.15 | $61.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $15.49 Typical High $23.99 | Professional | 26 · Professional part | $14.45 | $15.49 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $22.39 Typical High $38.02 | Professional | TC · Technical part | $21.88 | $22.39 | $38.02 |
Medcost Setting Professional Modifier None Typical Low $47.86 Median $50.12 Typical High $74.13 | Professional | None | $47.86 | $50.12 | $74.13 |
Medcost Setting Facility Modifier None Typical Low $32.36 Median $42.66 Typical High $104.71 | Facility | None | $32.36 | $42.66 | $104.71 |
Medcost Setting Professional Modifier None (both parts) Typical Low $37.15 Median $42.66 Typical High $53.70 | Professional | None (both parts) | $37.15 | $42.66 | $53.70 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $21.88 Typical High $23.99 | Professional | 26 · Professional part | $15.49 | $21.88 | $23.99 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $26.92 Typical High $38.90 | Professional | TC · Technical part | $21.88 | $26.92 | $38.90 |
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 $30.90 Median $37.15 Typical High $54.95 | Professional | None (both parts) | $30.90 | $37.15 | $54.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $14.79 Typical High $22.91 | Professional | 26 · Professional part | $12.30 | $14.79 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $22.39 Typical High $33.88 | Professional | TC · Technical part | $18.20 | $22.39 | $33.88 |
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 $19.05 | Professional | 52 · Reduced service | $18.62 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $7.41 | $7.76 | $7.76 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 59 · Distinct service | $39.81 | $39.81 | $39.81 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $18.62 Median $23.99 Typical High $26.92 | Professional | 51 · Multiple procedures | $18.62 | $23.99 | $26.92 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.41 Median $9.55 Typical High $10.72 | Professional | 80 · Assistant surgeon | $7.41 | $9.55 | $10.72 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.25 Median $6.76 Typical High $7.59 | Professional | 81 · Minimal assistant surgeon | $5.25 | $6.76 | $7.59 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.25 Median $6.76 Typical High $7.59 | Professional | 82 · Assistant surgeon, no resident | $5.25 | $6.76 | $7.59 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.25 Median $6.76 Typical High $7.59 | Professional | AS · PA/NP assist | $5.25 | $6.76 | $7.59 |
Where South Carolina sits
The same service costs 2.7 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· 34th of 51
$40.74
MN $83.18UT $30.90
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.