How much rates vary
Facilitymedian $871 · 10th to 90th $372 to $1,288Professionalmedian $95 · 10th to 90th $56 to $170
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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $95.50 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $38.02 | $39.81 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $57.54 Typical High $57.54 | Professional | TC · Technical part | $56.23 | $57.54 | $57.54 |
BCBS South Carolina Setting Facility Modifier None Typical Low $416.87 Median $933.25 Typical High $1,258.93 | Facility | None | $416.87 | $933.25 | $1,258.93 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | TC · Technical part | $562.34 | $562.34 | $562.34 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $61.66 Median $81.28 Typical High $107.15 | Professional | None (both parts) | $61.66 | $81.28 | $107.15 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $43.65 Typical High $51.29 | Professional | 26 · Professional part | $37.15 | $43.65 | $51.29 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $37.15 Typical High $63.10 | Professional | TC · Technical part | $15.85 | $37.15 | $63.10 |
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 $97.72 Median $104.71 Typical High $186.21 | Professional | None (both parts) | $97.72 | $104.71 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $42.66 Typical High $72.44 | Professional | 26 · Professional part | $38.02 | $42.66 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $63.10 Typical High $107.15 | Professional | TC · Technical part | $60.26 | $63.10 | $107.15 |
Medcost Setting Facility Modifier None Typical Low $97.72 Median $107.15 Typical High $131.83 | Facility | None | $97.72 | $107.15 | $131.83 |
Medcost Setting Professional Modifier None (both parts) Typical Low $66.07 Median $95.50 Typical High $138.04 | Professional | None (both parts) | $66.07 | $95.50 | $138.04 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $47.86 Typical High $64.57 | Professional | 26 · Professional part | $38.90 | $47.86 | $64.57 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $67.61 Typical High $95.50 | Professional | TC · Technical part | $53.70 | $67.61 | $95.50 |
Molina Setting Professional Modifier None (both parts) Typical Low $34.67 Median $42.66 Typical High $66.07 | Professional | None (both parts) | $34.67 | $42.66 | $66.07 |
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 $83.18 Median $218.78 Typical High $346.74 | Professional | None (both parts) | $83.18 | $218.78 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $42.66 Typical High $66.07 | Professional | 26 · Professional part | $36.31 | $42.66 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $181.97 Typical High $295.12 | Professional | TC · Technical part | $30.90 | $181.97 | $295.12 |
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 $47.86 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $47.86 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $19.05 | $19.50 | $19.50 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $33.11 Median $47.86 Typical High $85.11 | Professional | 51 · Multiple procedures | $33.11 | $47.86 | $85.11 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $13.18 Median $19.05 Typical High $33.88 | Professional | 80 · Assistant surgeon | $13.18 | $19.05 | $33.88 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.33 Median $13.49 Typical High $23.99 | Professional | 81 · Minimal assistant surgeon | $9.33 | $13.49 | $23.99 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.33 Median $13.49 Typical High $23.99 | Professional | 82 · Assistant surgeon, no resident | $9.33 | $13.49 | $23.99 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $9.33 Median $13.49 Typical High $23.99 | Professional | AS · PA/NP assist | $9.33 | $13.49 | $23.99 |
Where South Carolina sits
The same service costs 5.4 times more in Hawaii than in Kentucky. 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
$97.72
HI $309KY $57.54
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.