How much rates vary
Facilitymedian $955 · 10th to 90th $398 to $1,413Professionalmedian $316 · 10th to 90th $224 to $363
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 $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $281.84 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $112.20 | $125.89 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $190.55 Typical High $190.55 | Professional | TC · Technical part | $169.82 | $190.55 | $190.55 |
BCBS South Carolina Setting Facility Modifier None Typical Low $416.87 Median $977.24 Typical High $1,412.54 | Facility | None | $416.87 | $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 $223.87 Median $269.15 Typical High $363.08 | Professional | None (both parts) | $223.87 | $269.15 | $363.08 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $83.18 Typical High $141.25 | Professional | 26 · Professional part | $70.79 | $83.18 | $141.25 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $186.21 Typical High $218.78 | Professional | TC · Technical part | $154.88 | $186.21 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $302.00 Typical High $602.56 | Professional | None (both parts) | $288.40 | $302.00 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $125.89 Typical High $245.47 | Professional | 26 · Professional part | $114.82 | $125.89 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $177.83 Typical High $363.08 | Professional | TC · Technical part | $169.82 | $177.83 | $363.08 |
Medcost Setting Facility Modifier None Typical Low $316.23 Median $380.19 Typical High $426.58 | Facility | None | $316.23 | $380.19 | $426.58 |
Medcost Setting Professional Modifier None (both parts) Typical Low $295.12 Median $323.59 Typical High $354.81 | Professional | None (both parts) | $295.12 | $323.59 | $354.81 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $131.83 Typical High $204.17 | Professional | 26 · Professional part | $131.83 | $131.83 | $204.17 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $309.03 | Professional | TC · Technical part | $194.98 | $194.98 | $309.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $97.72 Median $199.53 Typical High $251.19 | Professional | None (both parts) | $97.72 | $199.53 | $251.19 |
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 $234.42 Median $295.12 Typical High $467.74 | Professional | None (both parts) | $234.42 | $295.12 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $112.20 Typical High $177.83 | Professional | 26 · Professional part | $93.33 | $112.20 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $173.78 Typical High $257.04 | Professional | TC · Technical part | $138.04 | $173.78 | $257.04 |
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 $141.25 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $141.25 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $56.23 | $63.10 | $63.10 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $147.91 Median $162.18 Typical High $218.78 | Professional | 51 · Multiple procedures | $147.91 | $162.18 | $218.78 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $58.88 Median $64.57 Typical High $87.10 | Professional | 80 · Assistant surgeon | $58.88 | $64.57 | $87.10 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $41.69 Median $45.71 Typical High $61.66 | Professional | 81 · Minimal assistant surgeon | $41.69 | $45.71 | $61.66 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $41.69 Median $45.71 Typical High $61.66 | Professional | 82 · Assistant surgeon, no resident | $41.69 | $45.71 | $61.66 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $41.69 Median $45.71 Typical High $61.66 | Professional | AS · PA/NP assist | $41.69 | $45.71 | $61.66 |
Where South Carolina sits
The same service costs 9.8 times more in Alaska than in New York. 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· 26th of 51
$316
AK $631NY $64.57
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.