How much rates vary
Facilitymedian $389 · 10th to 90th $155 to $562Professionalmedian $126 · 10th to 90th $71 to $200
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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $63.10 | $66.07 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $66.07 | Professional | TC · Technical part | $63.10 | $63.10 | $66.07 |
BCBS South Carolina Setting Facility Modifier None Typical Low $181.97 Median $416.87 Typical High $549.54 | Facility | None | $181.97 | $416.87 | $549.54 |
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 $128.82 Median $128.82 Typical High $141.25 | Professional | None (both parts) | $128.82 | $128.82 | $141.25 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $74.13 | Professional | 26 · Professional part | $64.57 | $64.57 | $74.13 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $70.79 | Professional | TC · Technical part | $64.57 | $64.57 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $104.71 Typical High $229.09 | Professional | None (both parts) | $87.10 | $104.71 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $74.13 Typical High $123.03 | Professional | 26 · Professional part | $64.57 | $74.13 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $9.77 Median $30.90 Typical High $112.20 | Professional | TC · Technical part | $9.77 | $30.90 | $112.20 |
Medcost Setting Facility Modifier None Typical Low $114.82 Median $141.25 Typical High $331.13 | Facility | None | $114.82 | $141.25 | $331.13 |
Medcost Setting Professional Modifier None (both parts) Typical Low $89.13 Median $97.72 Typical High $169.82 | Professional | None (both parts) | $89.13 | $97.72 | $169.82 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $74.13 Typical High $107.15 | Professional | 26 · Professional part | $60.26 | $74.13 | $107.15 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $30.90 Typical High $102.33 | Professional | TC · Technical part | $15.85 | $30.90 | $102.33 |
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 $537.03 Median $660.69 Typical High $851.14 | Facility | None | $537.03 | $660.69 | $851.14 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $128.82 Typical High $208.93 | Professional | None (both parts) | $89.13 | $128.82 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $70.79 Typical High $109.65 | Professional | 26 · Professional part | $60.26 | $70.79 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $63.10 Typical High $102.33 | Professional | TC · Technical part | $24.55 | $63.10 | $102.33 |
6 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 50 · Both sides Typical Low $134.90 Median $144.54 Typical High $331.13 | Professional | 50 · Both sides | $134.90 | $144.54 | $331.13 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $44.67 Median $48.98 Typical High $112.20 | Professional | 51 · Multiple procedures | $44.67 | $48.98 | $112.20 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $17.78 Median $19.50 Typical High $44.67 | Professional | 80 · Assistant surgeon | $17.78 | $19.50 | $44.67 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.59 Median $13.49 Typical High $30.90 | Professional | 81 · Minimal assistant surgeon | $12.59 | $13.49 | $30.90 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.59 Median $13.49 Typical High $30.90 | Professional | 82 · Assistant surgeon, no resident | $12.59 | $13.49 | $30.90 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $12.59 Median $13.49 Typical High $30.90 | Professional | AS · PA/NP assist | $12.59 | $13.49 | $30.90 |
Where South Carolina sits
The same service costs 4.7 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· 35th of 51
$129
AK $339TX $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.