How much rates vary
Facilitymedian $209 · 10th to 90th $110 to $398Professionalmedian $78 · 10th to 90th $43 to $107
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 $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $66.07 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $23.44 Typical High $23.44 | Professional | 26 · Professional part | $22.39 | $23.44 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $53.70 Typical High $53.70 | Professional | TC · Technical part | $43.65 | $53.70 | $53.70 |
BCBS South Carolina Setting Facility Modifier None Typical Low $131.83 Median $223.87 Typical High $398.11 | Facility | None | $131.83 | $223.87 | $398.11 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $63.10 Median $89.13 Typical High $107.15 | Professional | None (both parts) | $63.10 | $89.13 | $107.15 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $28.18 Typical High $47.86 | Professional | 26 · Professional part | $20.89 | $28.18 | $47.86 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $60.26 Typical High $61.66 | Professional | TC · Technical part | $41.69 | $60.26 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $81.28 Typical High $112.20 | Professional | None (both parts) | $74.13 | $81.28 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $27.54 Typical High $38.02 | Professional | 26 · Professional part | $24.55 | $27.54 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $53.70 Typical High $74.13 | Professional | TC · Technical part | $50.12 | $53.70 | $74.13 |
Medcost Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Medcost Setting Facility Modifier None Typical Low $75.86 Median $83.18 Typical High $173.78 | Facility | None | $75.86 | $83.18 | $173.78 |
Medcost Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $87.10 | Professional | None (both parts) | $85.11 | $85.11 | $87.10 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $38.02 | Professional | 26 · Professional part | $26.30 | $26.30 | $38.02 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $87.10 | Professional | TC · Technical part | $60.26 | $60.26 | $87.10 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $39.81 Typical High $60.26 | Professional | None (both parts) | $30.20 | $39.81 | $60.26 |
United Setting Facility Modifier None Typical Low $245.47 Median $302.00 Typical High $389.05 | Facility | None | $245.47 | $302.00 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $72.44 Typical High $114.82 | Professional | None (both parts) | $61.66 | $72.44 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $23.44 Typical High $36.31 | Professional | 26 · Professional part | $19.50 | $23.44 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $48.98 Typical High $77.62 | Professional | TC · Technical part | $41.69 | $48.98 | $77.62 |
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 $33.11 Median $38.02 Typical High $38.02 | Professional | 52 · Reduced service | $33.11 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $13.18 | $15.14 | $15.14 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $42.66 Median $42.66 Typical High $53.70 | Professional | 51 · Multiple procedures | $42.66 | $42.66 | $53.70 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $16.98 Median $16.98 Typical High $21.38 | Professional | 80 · Assistant surgeon | $16.98 | $16.98 | $21.38 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.02 Median $12.02 Typical High $15.14 | Professional | 81 · Minimal assistant surgeon | $12.02 | $12.02 | $15.14 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.02 Median $12.02 Typical High $15.14 | Professional | 82 · Assistant surgeon, no resident | $12.02 | $12.02 | $15.14 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $12.02 Median $12.02 Typical High $15.14 | Professional | AS · PA/NP assist | $12.02 | $12.02 | $15.14 |
Where South Carolina sits
The same service costs 4.9 times more in Nebraska 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· 29th of 51
$77.62
NE $155UT $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.