How much rates vary
Facilitymedian $3,715 · 10th to 90th $1,349 to $5,248Professionalmedian $550 · 10th to 90th $132 to $851
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 $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $776.25 | Professional | None (both parts) | $549.54 | $549.54 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $85.11 Typical High $104.71 | Professional | 26 · Professional part | $74.13 | $85.11 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $457.09 Typical High $645.65 | Professional | TC · Technical part | $457.09 | $457.09 | $645.65 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,778.28 Median $3,981.07 Typical High $5,248.07 | Facility | None | $1,778.28 | $3,981.07 | $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 $478.63 Median $537.03 Typical High $707.95 | Professional | None (both parts) | $478.63 | $537.03 | $707.95 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $234.42 Typical High $302.00 | Professional | 26 · Professional part | $79.43 | $234.42 | $302.00 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $398.11 Typical High $426.58 | Professional | TC · Technical part | $302.00 | $398.11 | $426.58 |
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 $645.65 Median $691.83 Typical High $1,023.29 | Professional | None (both parts) | $645.65 | $691.83 | $1,023.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $131.83 Typical High $190.55 | Professional | 26 · Professional part | $95.50 | $131.83 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $549.54 Typical High $812.83 | Professional | TC · Technical part | $512.86 | $549.54 | $812.83 |
Medcost Setting Facility Modifier None Typical Low $537.03 Median $602.56 Typical High $1,348.96 | Facility | None | $537.03 | $602.56 | $1,348.96 |
Medcost Setting Professional Modifier None (both parts) Typical Low $467.74 Median $660.69 Typical High $812.83 | Professional | None (both parts) | $467.74 | $660.69 | $812.83 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $141.25 Typical High $208.93 | Professional | 26 · Professional part | $114.82 | $141.25 | $208.93 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $537.03 Typical High $758.58 | Professional | TC · Technical part | $512.86 | $537.03 | $758.58 |
Molina Setting Professional Modifier None (both parts) Typical Low $112.20 Median $489.78 Typical High $831.76 | Professional | None (both parts) | $112.20 | $489.78 | $831.76 |
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 $524.81 Median $660.69 Typical High $1,000.00 | Professional | None (both parts) | $524.81 | $660.69 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $107.15 Typical High $165.96 | Professional | 26 · Professional part | $79.43 | $107.15 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $537.03 Typical High $851.14 | Professional | TC · Technical part | $457.09 | $537.03 | $851.14 |
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 $269.15 Median $275.42 Typical High $309.03 | Professional | 52 · Reduced service | $269.15 | $275.42 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $123.03 | Professional | 53 · Discontinued | $109.65 | $109.65 | $123.03 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $288.40 Median $331.13 Typical High $489.78 | Professional | 51 · Multiple procedures | $288.40 | $331.13 | $489.78 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $114.82 Median $131.83 Typical High $199.53 | Professional | 80 · Assistant surgeon | $114.82 | $131.83 | $199.53 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $81.28 Median $91.20 Typical High $138.04 | Professional | 81 · Minimal assistant surgeon | $81.28 | $91.20 | $138.04 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $81.28 Median $91.20 Typical High $138.04 | Professional | 82 · Assistant surgeon, no resident | $81.28 | $91.20 | $138.04 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $81.28 Median $91.20 Typical High $138.04 | Professional | AS · PA/NP assist | $81.28 | $91.20 | $138.04 |
Where South Carolina sits
The same service costs 3.3 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· 45th of 51
$550
AK $1,288TX $389
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.