How much rates vary
Facilitymedian $282 · 10th to 90th $110 to $417Professionalmedian $76 · 10th to 90th $65 to $102
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 $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $66.07 Typical High $69.18 | Professional | None (both parts) | $64.57 | $66.07 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $19.05 Typical High $19.05 | Professional | 26 · Professional part | $18.62 | $19.05 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $46.77 Typical High $50.12 | Professional | TC · Technical part | $45.71 | $46.77 | $50.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 26 · Professional part | $26.30 | $26.30 | $26.30 |
BCBS South Carolina Setting Facility Modifier None Typical Low $131.83 Median $295.12 Typical High $416.87 | Facility | None | $131.83 | $295.12 | $416.87 |
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 $70.79 Median $83.18 Typical High $89.13 | Professional | None (both parts) | $70.79 | $83.18 | $89.13 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $23.99 Typical High $25.70 | Professional | 26 · Professional part | $18.62 | $23.99 | $25.70 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $60.26 Typical High $63.10 | Professional | TC · Technical part | $52.48 | $60.26 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $75.86 Typical High $112.20 | Professional | None (both parts) | $74.13 | $75.86 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.50 Typical High $30.90 | Professional | 26 · Professional part | $19.05 | $19.50 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $56.23 Typical High $81.28 | Professional | TC · Technical part | $54.95 | $56.23 | $81.28 |
Medcost Setting Professional Modifier None Typical Low $97.72 Median $102.33 Typical High $134.90 | Professional | None | $97.72 | $102.33 | $134.90 |
Medcost Setting Facility Modifier None Typical Low $66.07 Median $79.43 Typical High $177.83 | Facility | None | $66.07 | $79.43 | $177.83 |
Medcost Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $102.33 | Professional | None (both parts) | $74.13 | $74.13 | $102.33 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $21.38 Typical High $30.90 | Professional | 26 · Professional part | $19.50 | $21.38 | $30.90 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $69.18 Typical High $77.62 | Professional | TC · Technical part | $53.70 | $69.18 | $77.62 |
Molina Setting Professional Modifier None (both parts) Typical Low $60.26 Median $77.62 Typical High $120.23 | Professional | None (both parts) | $60.26 | $77.62 | $120.23 |
United Setting Facility Modifier None Typical Low $562.34 Median $676.08 Typical High $891.25 | Facility | None | $562.34 | $676.08 | $891.25 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $70.79 Typical High $107.15 | Professional | None (both parts) | $58.88 | $70.79 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $18.62 Typical High $29.51 | Professional | 26 · Professional part | $15.85 | $18.62 | $29.51 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $50.12 Typical High $81.28 | Professional | TC · Technical part | $42.66 | $50.12 | $81.28 |
5 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $36.31 Median $46.77 Typical High $51.29 | Professional | 51 · Multiple procedures | $36.31 | $46.77 | $51.29 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $14.79 Median $18.62 Typical High $20.42 | Professional | 80 · Assistant surgeon | $14.79 | $18.62 | $20.42 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.23 Median $12.88 Typical High $14.45 | Professional | 81 · Minimal assistant surgeon | $10.23 | $12.88 | $14.45 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.23 Median $12.88 Typical High $14.45 | Professional | 82 · Assistant surgeon, no resident | $10.23 | $12.88 | $14.45 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $10.23 Median $12.88 Typical High $14.45 | Professional | AS · PA/NP assist | $10.23 | $12.88 | $14.45 |
Where South Carolina sits
The same service costs 2.4 times more in North Dakota 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· 36th of 51
$75.86
ND $148TX $61.66
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.