How much rates vary
Facilitymedian $759 · 10th to 90th $363 to $1,122Professionalmedian $427 · 10th to 90th $132 to $741
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 $426.58 Median $426.58 Typical High $1,174.90 | Facility | None | $426.58 | $426.58 | $1,174.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $426.58 Typical High $549.54 | Professional | None (both parts) | $398.11 | $426.58 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $87.10 Typical High $104.71 | Professional | 26 · Professional part | $85.11 | $87.10 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $338.84 Typical High $436.52 | Professional | TC · Technical part | $316.23 | $338.84 | $436.52 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None (both parts) | $489.78 | $489.78 | $489.78 |
BCBS South Carolina Setting Facility Modifier None Typical Low $371.54 Median $794.33 Typical High $1,096.48 | Facility | None | $371.54 | $794.33 | $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 $169.82 Median $281.84 Typical High $446.68 | Professional | None (both parts) | $169.82 | $281.84 | $446.68 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $100.00 Typical High $123.03 | Professional | 26 · Professional part | $85.11 | $100.00 | $123.03 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $186.21 Typical High $363.08 | Professional | TC · Technical part | $63.10 | $186.21 | $363.08 |
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 $281.84 Median $323.59 Typical High $758.58 | Professional | None (both parts) | $281.84 | $323.59 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $97.72 Typical High $165.96 | Professional | 26 · Professional part | $87.10 | $97.72 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $223.87 Typical High $616.60 | Professional | TC · Technical part | $177.83 | $223.87 | $616.60 |
Medcost Setting Facility Modifier None Typical Low $234.42 Median $467.74 Typical High $1,174.90 | Facility | None | $234.42 | $467.74 | $1,174.90 |
Medcost Setting Professional Modifier None (both parts) Typical Low $281.84 Median $316.23 Typical High $562.34 | Professional | None (both parts) | $281.84 | $316.23 | $562.34 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $107.15 Typical High $144.54 | Professional | 26 · Professional part | $89.13 | $107.15 | $144.54 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $229.09 Typical High $575.44 | Professional | TC · Technical part | $194.98 | $229.09 | $575.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $112.20 Median $467.74 Typical High $794.33 | Professional | None (both parts) | $112.20 | $467.74 | $794.33 |
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 $295.12 Median $398.11 Typical High $676.08 | Professional | None (both parts) | $295.12 | $398.11 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $93.33 Typical High $147.91 | Professional | 26 · Professional part | $81.28 | $93.33 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $309.03 Typical High $524.81 | Professional | TC · Technical part | $194.98 | $309.03 | $524.81 |
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 $204.17 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $204.17 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $81.28 | $85.11 | $85.11 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $141.25 Median $158.49 Typical High $363.08 | Professional | 51 · Multiple procedures | $141.25 | $158.49 | $363.08 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $56.23 Median $63.10 Typical High $144.54 | Professional | 80 · Assistant surgeon | $56.23 | $63.10 | $144.54 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $38.90 Median $44.67 Typical High $102.33 | Professional | 81 · Minimal assistant surgeon | $38.90 | $44.67 | $102.33 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $38.90 Median $44.67 Typical High $102.33 | Professional | 82 · Assistant surgeon, no resident | $38.90 | $44.67 | $102.33 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $38.90 Median $44.67 Typical High $102.33 | Professional | AS · PA/NP assist | $38.90 | $44.67 | $102.33 |
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· 39th of 51
$427
AK $977NM $302
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.