How much rates vary
Facilitymedian $72 · 10th to 90th $68 to $98Professionalmedian $72 · 10th to 90th $41 to $110
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 $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $75.86 | Professional | None (both parts) | $72.44 | $72.44 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.95 Typical High $21.38 | Professional | 26 · Professional part | $19.05 | $19.95 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $56.23 | Professional | TC · Technical part | $52.48 | $52.48 | $56.23 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $83.18 | Professional | None (both parts) | $70.79 | $70.79 | $83.18 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.50 Typical High $23.99 | Professional | 26 · Professional part | $19.50 | $19.50 | $23.99 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $60.26 | Professional | TC · Technical part | $51.29 | $51.29 | $60.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $40.74 Typical High $117.49 | Professional | None (both parts) | $39.81 | $40.74 | $117.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $20.42 Typical High $34.67 | Professional | 26 · Professional part | $19.95 | $20.42 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $20.89 Typical High $83.18 | Professional | TC · Technical part | $13.80 | $20.89 | $83.18 |
Medcost Setting Facility Modifier None Typical Low $67.61 Median $72.44 Typical High $186.21 | Facility | None | $67.61 | $72.44 | $186.21 |
Medcost Setting Professional Modifier None (both parts) Typical Low $32.36 Median $50.12 Typical High $93.33 | Professional | None (both parts) | $32.36 | $50.12 | $93.33 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $21.38 Typical High $32.36 | Professional | 26 · Professional part | $20.42 | $21.38 | $32.36 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $29.51 Typical High $85.11 | Professional | TC · Technical part | $15.14 | $29.51 | $85.11 |
Molina Setting Professional Modifier None (both parts) Typical Low $61.66 Median $77.62 Typical High $112.20 | Professional | None (both parts) | $61.66 | $77.62 | $112.20 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $66.07 Typical High $109.65 | Professional | None (both parts) | $38.90 | $66.07 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $19.95 Typical High $30.90 | Professional | 26 · Professional part | $16.98 | $19.95 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $48.98 Typical High $79.43 | Professional | TC · Technical part | $16.98 | $48.98 | $79.43 |
5 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 51 · Multiple procedures Typical Low $16.22 Median $25.12 Typical High $63.10 | Professional | 51 · Multiple procedures | $16.22 | $25.12 | $63.10 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.46 Median $10.00 Typical High $25.12 | Professional | 80 · Assistant surgeon | $6.46 | $10.00 | $25.12 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.47 Median $7.08 Typical High $17.38 | Professional | 81 · Minimal assistant surgeon | $4.47 | $7.08 | $17.38 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.47 Median $7.08 Typical High $17.38 | Professional | 82 · Assistant surgeon, no resident | $4.47 | $7.08 | $17.38 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.47 Median $7.08 Typical High $17.38 | Professional | AS · PA/NP assist | $4.47 | $7.08 | $17.38 |
Where South Carolina sits
The same service costs 3.6 times more in Alaska than in Indiana. 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· 34th of 51
$72.44
AK $186IN $51.29
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.