How much rates vary
Facilitymedian $724 · 10th to 90th $339 to $1,096Professionalmedian $347 · 10th to 90th $89 to $589
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 $346.74 Median $346.74 Typical High $436.52 | Facility | None | $346.74 | $346.74 | $436.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $346.74 Typical High $416.87 | Professional | None (both parts) | $323.59 | $346.74 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $57.54 Typical High $69.18 | Professional | 26 · Professional part | $56.23 | $57.54 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $288.40 Typical High $346.74 | Professional | TC · Technical part | $269.15 | $288.40 | $346.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $331.13 Median $501.19 Typical High $660.69 | Professional | None (both parts) | $331.13 | $501.19 | $660.69 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $52.48 | $79.43 | $79.43 |
BCBS South Carolina Setting Facility Modifier None Typical Low $363.08 Median $758.58 Typical High $1,096.48 | Facility | None | $363.08 | $758.58 | $1,096.48 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | TC · Technical part | $489.78 | $489.78 | $489.78 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $138.04 Median $281.84 Typical High $354.81 | Professional | None (both parts) | $138.04 | $281.84 | $354.81 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $66.07 Typical High $85.11 | Professional | 26 · Professional part | $56.23 | $66.07 | $85.11 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $213.80 Typical High $302.00 | Professional | TC · Technical part | $63.10 | $213.80 | $302.00 |
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 $213.80 Median $263.03 Typical High $602.56 | Professional | None (both parts) | $213.80 | $263.03 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $63.10 Typical High $104.71 | Professional | 26 · Professional part | $54.95 | $63.10 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $186.21 Typical High $501.19 | Professional | TC · Technical part | $147.91 | $186.21 | $501.19 |
Medcost Setting Facility Modifier None Typical Low $173.78 Median $380.19 Typical High $933.25 | Facility | None | $173.78 | $380.19 | $933.25 |
Medcost Setting Professional Modifier None (both parts) Typical Low $208.93 Median $263.03 Typical High $467.74 | Professional | None (both parts) | $208.93 | $263.03 | $467.74 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $67.61 Typical High $93.33 | Professional | 26 · Professional part | $56.23 | $67.61 | $93.33 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $208.93 Typical High $467.74 | Professional | TC · Technical part | $165.96 | $208.93 | $467.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $75.86 Median $371.54 Typical High $616.60 | Professional | None (both parts) | $75.86 | $371.54 | $616.60 |
United Setting Facility Modifier None Typical Low $912.01 Median $1,096.48 Typical High $1,445.44 | Facility | None | $912.01 | $1,096.48 | $1,445.44 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $316.23 Typical High $537.03 | Professional | None (both parts) | $229.09 | $316.23 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $60.26 Typical High $95.50 | Professional | 26 · Professional part | $51.29 | $60.26 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $263.03 Typical High $446.68 | Professional | TC · Technical part | $169.82 | $263.03 | $446.68 |
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 $162.18 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $162.18 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $69.18 Typical High $69.18 | Professional | 53 · Discontinued | $66.07 | $69.18 | $69.18 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $104.71 Median $131.83 Typical High $288.40 | Professional | 51 · Multiple procedures | $104.71 | $131.83 | $288.40 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $41.69 Median $52.48 Typical High $114.82 | Professional | 80 · Assistant surgeon | $41.69 | $52.48 | $114.82 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $29.51 Median $37.15 Typical High $81.28 | Professional | 81 · Minimal assistant surgeon | $29.51 | $37.15 | $81.28 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $29.51 Median $37.15 Typical High $81.28 | Professional | 82 · Assistant surgeon, no resident | $29.51 | $37.15 | $81.28 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $29.51 Median $37.15 Typical High $81.28 | Professional | AS · PA/NP assist | $29.51 | $37.15 | $81.28 |
Where South Carolina sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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· 37th of 51
$347
AK $776NM $240
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.