How much rates vary
Facilitymedian $372 · 10th to 90th $158 to $550Professionalmedian $162 · 10th to 90th $83 to $257
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 $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $162.18 Typical High $169.82 | Professional | None (both parts) | $151.36 | $162.18 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $83.18 Typical High $93.33 | Professional | 26 · Professional part | $79.43 | $83.18 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $79.43 Typical High $87.10 | Professional | TC · Technical part | $70.79 | $79.43 | $87.10 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 26 · Professional part | $87.10 | $87.10 | $87.10 |
BCBS South Carolina Setting Facility Modifier None Typical Low $169.82 Median $380.19 Typical High $524.81 | Facility | None | $169.82 | $380.19 | $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 $154.88 Median $165.96 Typical High $213.80 | Professional | None (both parts) | $154.88 | $165.96 | $213.80 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $131.83 Typical High $151.36 | Professional | 26 · Professional part | $79.43 | $131.83 | $151.36 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $74.13 Typical High $83.18 | Professional | TC · Technical part | $33.11 | $74.13 | $83.18 |
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 $117.49 Median $162.18 Typical High $281.84 | Professional | None (both parts) | $117.49 | $162.18 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $91.20 Typical High $154.88 | Professional | 26 · Professional part | $81.28 | $91.20 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $41.69 Typical High $138.04 | Professional | TC · Technical part | $33.88 | $41.69 | $138.04 |
Medcost Setting Facility Modifier None Typical Low $107.15 Median $177.83 Typical High $426.58 | Facility | None | $107.15 | $177.83 | $426.58 |
Medcost Setting Professional Modifier None (both parts) Typical Low $123.03 Median $128.82 Typical High $257.04 | Professional | None (both parts) | $123.03 | $128.82 | $257.04 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $91.20 Typical High $134.90 | Professional | 26 · Professional part | $75.86 | $91.20 | $134.90 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $41.69 Typical High $128.82 | Professional | TC · Technical part | $35.48 | $41.69 | $128.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $72.44 Median $131.83 Typical High $263.03 | Professional | None (both parts) | $72.44 | $131.83 | $263.03 |
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 $125.89 Median $162.18 Typical High $275.42 | Professional | None (both parts) | $125.89 | $162.18 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $87.10 Typical High $134.90 | Professional | 26 · Professional part | $74.13 | $87.10 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $81.28 Typical High $128.82 | Professional | TC · Technical part | $35.48 | $81.28 | $128.82 |
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 $81.28 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $32.36 | $32.36 | $32.36 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $61.66 Median $64.57 Typical High $141.25 | Professional | 51 · Multiple procedures | $61.66 | $64.57 | $141.25 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $24.55 Median $25.70 Typical High $56.23 | Professional | 80 · Assistant surgeon | $24.55 | $25.70 | $56.23 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $17.38 Median $18.20 Typical High $39.81 | Professional | 81 · Minimal assistant surgeon | $17.38 | $18.20 | $39.81 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $17.38 Median $18.20 Typical High $39.81 | Professional | 82 · Assistant surgeon, no resident | $17.38 | $18.20 | $39.81 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $17.38 Median $18.20 Typical High $39.81 | Professional | AS · PA/NP assist | $17.38 | $18.20 | $39.81 |
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· 37th of 51
$162
AK $398TX $102
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.