How much rates vary
Facilitymedian $200 · 10th to 90th $85 to $302Professionalmedian $85 · 10th to 90th $65 to $151
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 $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $85.11 Typical High $107.15 | Professional | None (both parts) | $83.18 | $85.11 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $38.02 Typical High $45.71 | Professional | 26 · Professional part | $37.15 | $38.02 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $58.88 | Professional | TC · Technical part | $46.77 | $46.77 | $58.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
BCBS South Carolina Setting Facility Modifier None Typical Low $95.50 Median $213.80 Typical High $302.00 | Facility | None | $95.50 | $213.80 | $302.00 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $70.79 Median $79.43 Typical High $95.50 | Professional | None (both parts) | $70.79 | $79.43 | $95.50 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $44.67 Typical High $56.23 | Professional | 26 · Professional part | $36.31 | $44.67 | $56.23 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $28.84 Typical High $47.86 | Professional | TC · Technical part | $26.30 | $28.84 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $89.13 Typical High $158.49 | Professional | None (both parts) | $87.10 | $89.13 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $43.65 Typical High $72.44 | Professional | 26 · Professional part | $40.74 | $43.65 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $45.71 Typical High $81.28 | Professional | TC · Technical part | $44.67 | $45.71 | $81.28 |
Medcost Setting Facility Modifier None Typical Low $79.43 Median $85.11 Typical High $223.87 | Facility | None | $79.43 | $85.11 | $223.87 |
Medcost Setting Professional Modifier None (both parts) Typical Low $63.10 Median $87.10 Typical High $109.65 | Professional | None (both parts) | $63.10 | $87.10 | $109.65 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $66.07 | Professional | 26 · Professional part | $42.66 | $42.66 | $66.07 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $81.28 | Professional | TC · Technical part | $44.67 | $44.67 | $81.28 |
Molina Setting Professional Modifier None (both parts) Typical Low $50.12 Median $100.00 Typical High $165.96 | Professional | None (both parts) | $50.12 | $100.00 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $89.13 Typical High $138.04 | Professional | None (both parts) | $72.44 | $89.13 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $42.66 Typical High $66.07 | Professional | 26 · Professional part | $33.11 | $42.66 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $47.86 Typical High $74.13 | Professional | TC · Technical part | $38.90 | $47.86 | $74.13 |
8 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 $41.69 Median $42.66 Typical High $42.66 | Professional | 52 · Reduced service | $41.69 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 53 · Discontinued | $16.98 | $16.98 | $16.98 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $95.50 Median $131.83 Typical High $218.78 | Professional | 50 · Both sides | $95.50 | $131.83 | $218.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $43.65 Median $43.65 Typical High $74.13 | Professional | 51 · Multiple procedures | $43.65 | $43.65 | $74.13 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $12.59 Median $17.38 Typical High $29.51 | Professional | 80 · Assistant surgeon | $12.59 | $17.38 | $29.51 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.91 Median $12.30 Typical High $20.42 | Professional | 81 · Minimal assistant surgeon | $8.91 | $12.30 | $20.42 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.91 Median $12.30 Typical High $20.42 | Professional | 82 · Assistant surgeon, no resident | $8.91 | $12.30 | $20.42 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $8.91 Median $12.30 Typical High $20.42 | Professional | AS · PA/NP assist | $8.91 | $12.30 | $20.42 |
Where South Carolina sits
The same service costs 3.0 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
$87.10
AK $204TX $67.61
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.