How much rates vary
Facilitymedian $204 · 10th to 90th $95 to $302Professionalmedian $112 · 10th to 90th $72 to $170
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 $177.83 | Facility | None | $112.20 | $112.20 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $144.54 | Professional | None (both parts) | $112.20 | $112.20 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $67.61 Typical High $81.28 | Professional | 26 · Professional part | $64.57 | $67.61 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $64.57 | Professional | TC · Technical part | $45.71 | $45.71 | $64.57 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $104.71 Median $158.49 Typical High $204.17 | Professional | None (both parts) | $104.71 | $158.49 | $204.17 |
BCBS South Carolina Setting Facility Modifier None Typical Low $93.33 Median $213.80 Typical High $302.00 | Facility | None | $93.33 | $213.80 | $302.00 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | TC · Technical part | $128.82 | $128.82 | $128.82 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $89.13 Median $112.20 Typical High $165.96 | Professional | None (both parts) | $89.13 | $112.20 | $165.96 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $70.79 Typical High $95.50 | Professional | 26 · Professional part | $64.57 | $70.79 | $95.50 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $46.77 Typical High $70.79 | Professional | TC · Technical part | $19.05 | $46.77 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $131.83 Typical High $218.78 | Professional | None (both parts) | $128.82 | $131.83 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $75.86 Typical High $128.82 | Professional | 26 · Professional part | $72.44 | $75.86 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $57.54 Typical High $87.10 | Professional | TC · Technical part | $53.70 | $57.54 | $87.10 |
Medcost Setting Facility Modifier None Typical Low $112.20 Median $125.89 Typical High $302.00 | Facility | None | $112.20 | $125.89 | $302.00 |
Medcost Setting Professional Modifier None (both parts) Typical Low $93.33 Median $131.83 Typical High $162.18 | Professional | None (both parts) | $93.33 | $131.83 | $162.18 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $74.13 Typical High $117.49 | Professional | 26 · Professional part | $61.66 | $74.13 | $117.49 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $56.23 Typical High $79.43 | Professional | TC · Technical part | $51.29 | $56.23 | $79.43 |
Molina Setting Professional Modifier None (both parts) Typical Low $66.07 Median $102.33 Typical High $158.49 | Professional | None (both parts) | $66.07 | $102.33 | $158.49 |
United Setting Facility Modifier None Typical Low $912.01 Median $1,096.48 Typical High $1,445.44 | Facility | None | $912.01 | $1,096.48 | $1,445.44 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $128.82 Typical High $208.93 | Professional | None (both parts) | $107.15 | $128.82 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $75.86 Typical High $117.49 | Professional | 26 · Professional part | $61.66 | $75.86 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $56.23 Typical High $85.11 | Professional | TC · Technical part | $46.77 | $56.23 | $85.11 |
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 $56.23 Median $56.23 Typical High $57.54 | Professional | 52 · Reduced service | $56.23 | $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 $46.77 Median $66.07 Typical High $107.15 | Professional | 51 · Multiple procedures | $46.77 | $66.07 | $107.15 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $16.98 Median $26.30 Typical High $38.90 | Professional | 80 · Assistant surgeon | $16.98 | $26.30 | $38.90 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.02 Median $18.20 Typical High $27.54 | Professional | 81 · Minimal assistant surgeon | $12.02 | $18.20 | $27.54 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.02 Median $18.20 Typical High $27.54 | Professional | 82 · Assistant surgeon, no resident | $12.02 | $18.20 | $27.54 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $12.02 Median $18.20 Typical High $27.54 | Professional | AS · PA/NP assist | $12.02 | $18.20 | $27.54 |
Where South Carolina sits
The same service costs 3.8 times more in Alaska than in Utah. 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· 43rd of 51
$112
AK $275UT $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.