How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,202 to $5,248Professionalmedian $1,000 · 10th to 90th $174 to $1,585
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 $933.25 Median $933.25 Typical High $2,570.40 | Facility | None | $933.25 | $933.25 | $2,570.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $933.25 Typical High $1,258.93 | Professional | None (both parts) | $812.83 | $933.25 | $1,258.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $128.82 Typical High $147.91 | Professional | 26 · Professional part | $104.71 | $128.82 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $812.83 Typical High $1,122.02 | Professional | TC · Technical part | $707.95 | $812.83 | $1,122.02 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None (both parts) | $1,023.29 | $1,023.29 | $1,023.29 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,778.28 Median $3,890.45 Typical High $5,248.07 | Facility | None | $1,778.28 | $3,890.45 | $5,248.07 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | TC · Technical part | $2,454.71 | $2,454.71 | $2,454.71 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $891.25 Median $933.25 Typical High $1,348.96 | Professional | None (both parts) | $891.25 | $933.25 | $1,348.96 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $275.42 Typical High $309.03 | Professional | 26 · Professional part | $117.49 | $275.42 | $309.03 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $812.83 Typical High $1,047.13 | Professional | TC · Technical part | $630.96 | $812.83 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,174.90 Typical High $1,862.09 | Professional | None (both parts) | $1,023.29 | $1,174.90 | $1,862.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $151.36 Typical High $239.88 | Professional | 26 · Professional part | $138.04 | $151.36 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,023.29 Typical High $1,548.82 | Professional | TC · Technical part | $870.96 | $1,023.29 | $1,548.82 |
Medcost Setting Facility Modifier None Typical Low $933.25 Median $1,047.13 Typical High $2,570.40 | Facility | None | $933.25 | $1,047.13 | $2,570.40 |
Medcost Setting Professional Modifier None (both parts) Typical Low $707.95 Median $1,148.15 Typical High $1,288.25 | Professional | None (both parts) | $707.95 | $1,148.15 | $1,288.25 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $147.91 Typical High $223.87 | Professional | 26 · Professional part | $144.54 | $147.91 | $223.87 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,000.00 Typical High $1,412.54 | Professional | TC · Technical part | $912.01 | $1,000.00 | $1,412.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $151.36 Median $977.24 Typical High $1,698.24 | Professional | None (both parts) | $151.36 | $977.24 | $1,698.24 |
United Setting Facility Modifier None Typical Low $3,630.78 Median $4,365.16 Typical High $5,754.40 | Facility | None | $3,630.78 | $4,365.16 | $5,754.40 |
United Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,047.13 Typical High $1,548.82 | Professional | None (both parts) | $831.76 | $1,047.13 | $1,548.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $144.54 Typical High $218.78 | Professional | 26 · Professional part | $117.49 | $144.54 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $912.01 Typical High $1,412.54 | Professional | TC · Technical part | $707.95 | $912.01 | $1,412.54 |
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 $380.19 Median $467.74 Typical High $489.78 | Professional | 52 · Reduced service | $380.19 | $467.74 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $190.55 Typical High $194.98 | Professional | 53 · Discontinued | $154.88 | $190.55 | $194.98 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $407.38 Median $575.44 Typical High $812.83 | Professional | 51 · Multiple procedures | $407.38 | $575.44 | $812.83 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $141.25 Median $229.09 Typical High $331.13 | Professional | 80 · Assistant surgeon | $141.25 | $229.09 | $331.13 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $100.00 Median $158.49 Typical High $229.09 | Professional | 81 · Minimal assistant surgeon | $100.00 | $158.49 | $229.09 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $100.00 Median $158.49 Typical High $229.09 | Professional | 82 · Assistant surgeon, no resident | $100.00 | $158.49 | $229.09 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $100.00 Median $158.49 Typical High $229.09 | Professional | AS · PA/NP assist | $100.00 | $158.49 | $229.09 |
Where South Carolina sits
The same service costs 2.9 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· 40th of 51
$1,023
AK $2,138TX $741
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.