How much rates vary
Facilitymedian $372 · 10th to 90th $117 to $550Professionalmedian $112 · 10th to 90th $72 to $186
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 $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $112.20 Typical High $117.49 | Professional | None (both parts) | $107.15 | $112.20 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $51.29 Typical High $54.95 | Professional | 26 · Professional part | $50.12 | $51.29 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $61.66 Typical High $64.57 | Professional | TC · Technical part | $56.23 | $61.66 | $64.57 |
BCBS South Carolina Setting Facility Modifier None Typical Low $173.78 Median $407.38 Typical High $524.81 | Facility | None | $173.78 | $407.38 | $524.81 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | TC · Technical part | $251.19 | $251.19 | $251.19 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $97.72 Median $112.20 Typical High $125.89 | Professional | None (both parts) | $97.72 | $112.20 | $125.89 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $66.07 Typical High $85.11 | Professional | 26 · Professional part | $50.12 | $66.07 | $85.11 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $60.26 Typical High $63.10 | Professional | TC · Technical part | $16.98 | $60.26 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $114.82 Typical High $199.53 | Professional | None (both parts) | $85.11 | $114.82 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $56.23 Typical High $95.50 | Professional | 26 · Professional part | $50.12 | $56.23 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $44.67 Typical High $107.15 | Professional | TC · Technical part | $34.67 | $44.67 | $107.15 |
Medcost Setting Facility Modifier None Typical Low $85.11 Median $125.89 Typical High $302.00 | Facility | None | $85.11 | $125.89 | $302.00 |
Medcost Setting Professional Modifier None (both parts) Typical Low $85.11 Median $102.33 Typical High $177.83 | Professional | None (both parts) | $85.11 | $102.33 | $177.83 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $61.66 Typical High $85.11 | Professional | 26 · Professional part | $46.77 | $61.66 | $85.11 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $39.81 Typical High $100.00 | Professional | TC · Technical part | $33.88 | $39.81 | $100.00 |
Molina Setting Professional Modifier None (both parts) Typical Low $66.07 Median $107.15 Typical High $208.93 | Professional | None (both parts) | $66.07 | $107.15 | $208.93 |
United Setting Facility Modifier None Typical Low $562.34 Median $676.08 Typical High $891.25 | Facility | None | $562.34 | $676.08 | $891.25 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $114.82 Typical High $194.98 | Professional | None (both parts) | $87.10 | $114.82 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $54.95 Typical High $89.13 | Professional | 26 · Professional part | $46.77 | $54.95 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $63.10 Typical High $102.33 | Professional | TC · Technical part | $35.48 | $63.10 | $102.33 |
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 $54.95 Median $56.23 Typical High $57.54 | Professional | 52 · Reduced service | $54.95 | $56.23 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $22.91 | Professional | 53 · Discontinued | $22.39 | $22.39 | $22.91 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $42.66 Median $51.29 Typical High $97.72 | Professional | 51 · Multiple procedures | $42.66 | $51.29 | $97.72 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $16.98 Median $20.42 Typical High $39.81 | Professional | 80 · Assistant surgeon | $16.98 | $20.42 | $39.81 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $11.75 Median $14.45 Typical High $27.54 | Professional | 81 · Minimal assistant surgeon | $11.75 | $14.45 | $27.54 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $11.75 Median $14.45 Typical High $27.54 | Professional | 82 · Assistant surgeon, no resident | $11.75 | $14.45 | $27.54 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $11.75 Median $14.45 Typical High $27.54 | Professional | AS · PA/NP assist | $11.75 | $14.45 | $27.54 |
Where South Carolina sits
The same service costs 3.9 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· 41st of 51
$112
AK $282TX $72.44
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.