How much rates vary
Facilitymedian $195 · 10th to 90th $74 to $282Professionalmedian $45 · 10th to 90th $36 to $63
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 $39.81 Median $39.81 Typical High $72.44 | Facility | None | $39.81 | $39.81 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $39.81 Typical High $51.29 | Professional | None (both parts) | $38.02 | $39.81 | $51.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.59 Typical High $14.79 | Professional | 26 · Professional part | $12.30 | $12.59 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $26.92 Typical High $35.48 | Professional | TC · Technical part | $25.70 | $26.92 | $35.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $51.29 | $51.29 | $51.29 |
BCBS South Carolina Setting Facility Modifier None Typical Low $91.20 Median $208.93 Typical High $281.84 | Facility | None | $91.20 | $208.93 | $281.84 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | TC · Technical part | $120.23 | $120.23 | $120.23 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $39.81 Median $44.67 Typical High $63.10 | Professional | None (both parts) | $39.81 | $44.67 | $63.10 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $23.99 Typical High $24.55 | Professional | 26 · Professional part | $12.02 | $23.99 | $24.55 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $33.11 Typical High $38.90 | Professional | TC · Technical part | $15.85 | $33.11 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $47.86 Typical High $69.18 | Professional | None (both parts) | $40.74 | $47.86 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $14.45 Typical High $20.89 | Professional | 26 · Professional part | $13.18 | $14.45 | $20.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $33.11 Typical High $46.77 | Professional | TC · Technical part | $26.92 | $33.11 | $46.77 |
Medcost Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
Medcost Setting Facility Modifier None Typical Low $39.81 Median $43.65 Typical High $117.49 | Facility | None | $39.81 | $43.65 | $117.49 |
Medcost Setting Professional Modifier None (both parts) Typical Low $44.67 Median $46.77 Typical High $54.95 | Professional | None (both parts) | $44.67 | $46.77 | $54.95 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.13 Typical High $20.89 | Professional | 26 · Professional part | $14.13 | $14.13 | $20.89 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $43.65 | Professional | TC · Technical part | $32.36 | $32.36 | $43.65 |
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 $537.03 Median $660.69 Typical High $851.14 | Facility | None | $537.03 | $660.69 | $851.14 |
United Setting Professional Modifier None (both parts) Typical Low $33.11 Median $40.74 Typical High $66.07 | Professional | None (both parts) | $33.11 | $40.74 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.59 Typical High $19.95 | Professional | 26 · Professional part | $10.47 | $12.59 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $28.18 Typical High $43.65 | Professional | TC · Technical part | $22.91 | $28.18 | $43.65 |
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 $19.05 Median $19.95 Typical High $19.95 | Professional | 52 · Reduced service | $19.05 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $7.59 | $7.94 | $7.94 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $23.44 Median $23.44 Typical High $27.54 | Professional | 51 · Multiple procedures | $23.44 | $23.44 | $27.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $9.33 Median $9.33 Typical High $11.22 | Professional | 80 · Assistant surgeon | $9.33 | $9.33 | $11.22 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.61 Median $6.61 Typical High $7.76 | Professional | 81 · Minimal assistant surgeon | $6.61 | $6.61 | $7.76 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.61 Median $6.61 Typical High $7.76 | Professional | 82 · Assistant surgeon, no resident | $6.61 | $6.61 | $7.76 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.61 Median $6.61 Typical High $7.76 | Professional | AS · PA/NP assist | $6.61 | $6.61 | $7.76 |
Where South Carolina sits
The same service costs 2.9 times more in Alaska 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· 35th of 51
$44.67
AK $89.13UT $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.