How much rates vary
Facilitymedian $955 · 10th to 90th $372 to $1,413Professionalmedian $155 · 10th to 90th $93 to $200
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 $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $154.88 Typical High $173.78 | Professional | None (both parts) | $151.36 | $154.88 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $69.18 Typical High $77.62 | Professional | 26 · Professional part | $67.61 | $69.18 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $85.11 Typical High $109.65 | Professional | TC · Technical part | $81.28 | $85.11 | $109.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $87.10 Typical High $120.23 | Professional | 26 · Professional part | $72.44 | $87.10 | $120.23 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | TC · Technical part | $165.96 | $165.96 | $165.96 |
BCBS South Carolina Setting Facility Modifier None Typical Low $407.38 Median $977.24 Typical High $1,412.54 | Facility | None | $407.38 | $977.24 | $1,412.54 |
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 $154.88 Median $154.88 Typical High $162.18 | Professional | None (both parts) | $154.88 | $154.88 | $162.18 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $79.43 Typical High $97.72 | Professional | 26 · Professional part | $66.07 | $79.43 | $97.72 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $91.20 Typical High $91.20 | Professional | TC · Technical part | $75.86 | $91.20 | $91.20 |
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 $154.88 Median $154.88 Typical High $251.19 | Professional | None (both parts) | $154.88 | $154.88 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $70.79 Typical High $112.20 | Professional | 26 · Professional part | $69.18 | $70.79 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $87.10 Typical High $141.25 | Professional | TC · Technical part | $83.18 | $87.10 | $141.25 |
Medcost Setting Professional Modifier None Typical Low $190.55 Median $199.53 Typical High $295.12 | Professional | None | $190.55 | $199.53 | $295.12 |
Medcost Setting Facility Modifier None Typical Low $125.89 Median $169.82 Typical High $416.87 | Facility | None | $125.89 | $169.82 | $416.87 |
Medcost Setting Professional Modifier None (both parts) Typical Low $128.82 Median $173.78 Typical High $199.53 | Professional | None (both parts) | $128.82 | $173.78 | $199.53 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $100.00 Typical High $114.82 | Professional | 26 · Professional part | $72.44 | $100.00 | $114.82 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $100.00 Typical High $138.04 | Professional | TC · Technical part | $87.10 | $100.00 | $138.04 |
Molina Setting Professional Modifier None (both parts) Typical Low $70.79 Median $120.23 Typical High $204.17 | Professional | None (both parts) | $70.79 | $120.23 | $204.17 |
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 $123.03 Median $151.36 Typical High $234.42 | Professional | None (both parts) | $123.03 | $151.36 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $69.18 Typical High $107.15 | Professional | 26 · Professional part | $57.54 | $69.18 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $81.28 Typical High $128.82 | Professional | TC · Technical part | $64.57 | $81.28 | $128.82 |
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 $75.86 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $75.86 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $30.20 | $30.90 | $30.90 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $64.57 Median $91.20 Typical High $107.15 | Professional | 51 · Multiple procedures | $64.57 | $91.20 | $107.15 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $25.70 Median $36.31 Typical High $43.65 | Professional | 80 · Assistant surgeon | $25.70 | $36.31 | $43.65 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $17.78 Median $25.12 Typical High $30.20 | Professional | 81 · Minimal assistant surgeon | $17.78 | $25.12 | $30.20 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $17.78 Median $25.12 Typical High $30.20 | Professional | 82 · Assistant surgeon, no resident | $17.78 | $25.12 | $30.20 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $17.78 Median $25.12 Typical High $30.20 | Professional | AS · PA/NP assist | $17.78 | $25.12 | $30.20 |
Where South Carolina sits
The same service costs 3.6 times more in Alaska 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· 42nd of 51
$155
AK $331TX $91.20
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.