How much rates vary
Facilitymedian $1,778 · 10th to 90th $1,288 to $4,677Professionalmedian $1,778 · 10th to 90th $355 to $3,020
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $1,778.28 Typical High $1,905.46 | Professional | None (both parts) | $1,737.80 | $1,778.28 | $1,905.46 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $338.84 Typical High $346.74 | Professional | 26 · Professional part | $323.59 | $338.84 | $346.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,412.54 Median $1,412.54 Typical High $1,513.56 | Professional | TC · Technical part | $1,412.54 | $1,412.54 | $1,513.56 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $331.13 Median $1,412.54 Typical High $1,819.70 | Professional | None (both parts) | $331.13 | $1,412.54 | $1,819.70 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $323.59 Typical High $389.05 | Professional | 26 · Professional part | $323.59 | $323.59 | $389.05 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,096.48 Typical High $1,584.89 | Professional | TC · Technical part | $1,096.48 | $1,096.48 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,548.82 Typical High $3,090.30 | Professional | None (both parts) | $1,288.25 | $1,548.82 | $3,090.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $363.08 Typical High $602.56 | Professional | 26 · Professional part | $316.23 | $363.08 | $602.56 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $1,288.25 Typical High $2,511.89 | Professional | TC · Technical part | $977.24 | $1,288.25 | $2,511.89 |
Medcost Setting Facility Modifier None Typical Low $1,288.25 Median $1,949.84 Typical High $4,677.35 | Facility | None | $1,288.25 | $1,949.84 | $4,677.35 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,548.82 Typical High $2,290.87 | Professional | None (both parts) | $1,288.25 | $1,548.82 | $2,290.87 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $380.19 Typical High $588.84 | Professional | 26 · Professional part | $323.59 | $380.19 | $588.84 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $1,122.02 Typical High $2,344.23 | Professional | TC · Technical part | $977.24 | $1,122.02 | $2,344.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $380.19 Median $1,905.46 Typical High $3,235.94 | Professional | None (both parts) | $380.19 | $1,905.46 | $3,235.94 |
United Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,737.80 Typical High $2,884.03 | Professional | None (both parts) | $1,288.25 | $1,737.80 | $2,884.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $346.74 Typical High $549.54 | Professional | 26 · Professional part | $295.12 | $346.74 | $549.54 |
United Setting Professional Modifier TC · Technical part Typical Low $1,023.29 Median $1,445.44 Typical High $2,344.23 | Professional | TC · Technical part | $1,023.29 | $1,445.44 | $2,344.23 |
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 $870.96 Median $870.96 Typical High $912.01 | Professional | 52 · Reduced service | $870.96 | $870.96 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $354.81 Typical High $363.08 | Professional | 53 · Discontinued | $354.81 | $354.81 | $363.08 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $645.65 Median $776.25 Typical High $1,513.56 | Professional | 51 · Multiple procedures | $645.65 | $776.25 | $1,513.56 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $257.04 Median $309.03 Typical High $616.60 | Professional | 80 · Assistant surgeon | $257.04 | $309.03 | $616.60 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $181.97 Median $218.78 Typical High $426.58 | Professional | 81 · Minimal assistant surgeon | $181.97 | $218.78 | $426.58 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $181.97 Median $218.78 Typical High $426.58 | Professional | 82 · Assistant surgeon, no resident | $181.97 | $218.78 | $426.58 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $181.97 Median $218.78 Typical High $426.58 | Professional | AS · PA/NP assist | $181.97 | $218.78 | $426.58 |
Where South Carolina sits
The same service costs 3.2 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· 39th of 51
$1,778
AK $4,467TX $1,413
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.