How much rates vary
Facilitymedian $407 · 10th to 90th $186 to $603Professionalmedian $251 · 10th to 90th $135 to $407
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 $251.19 Median $251.19 Typical High $389.05 | Facility | None | $251.19 | $251.19 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $251.19 Typical High $331.13 | Professional | None (both parts) | $245.47 | $251.19 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $162.18 Typical High $208.93 | Professional | 26 · Professional part | $154.88 | $162.18 | $208.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $138.04 | Professional | TC · Technical part | $91.20 | $91.20 | $138.04 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $223.87 Median $239.88 Typical High $446.68 | Professional | None (both parts) | $223.87 | $239.88 | $446.68 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $281.84 Typical High $281.84 | Professional | 26 · Professional part | $169.82 | $281.84 | $281.84 |
BCBS South Carolina Setting Facility Modifier None Typical Low $181.97 Median $416.87 Typical High $575.44 | Facility | None | $181.97 | $416.87 | $575.44 |
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 $199.53 Median $239.88 Typical High $371.54 | Professional | None (both parts) | $199.53 | $239.88 | $371.54 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $169.82 Typical High $229.09 | Professional | 26 · Professional part | $154.88 | $169.82 | $229.09 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $89.13 Typical High $144.54 | Professional | TC · Technical part | $32.36 | $89.13 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $295.12 Typical High $478.63 | Professional | None (both parts) | $275.42 | $295.12 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $181.97 Typical High $309.03 | Professional | 26 · Professional part | $173.78 | $181.97 | $309.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $114.82 Typical High $173.78 | Professional | TC · Technical part | $104.71 | $114.82 | $173.78 |
Medcost Setting Facility Modifier None Typical Low $251.19 Median $275.42 Typical High $676.08 | Facility | None | $251.19 | $275.42 | $676.08 |
Medcost Setting Professional Modifier None (both parts) Typical Low $208.93 Median $295.12 Typical High $354.81 | Professional | None (both parts) | $208.93 | $295.12 | $354.81 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $177.83 Typical High $281.84 | Professional | 26 · Professional part | $147.91 | $177.83 | $281.84 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $114.82 Typical High $158.49 | Professional | TC · Technical part | $102.33 | $114.82 | $158.49 |
Molina Setting Professional Modifier None (both parts) Typical Low $109.65 Median $213.80 Typical High $426.58 | Professional | None (both parts) | $109.65 | $213.80 | $426.58 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,905.46 Typical High $2,454.71 | Facility | None | $1,584.89 | $1,905.46 | $2,454.71 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $281.84 Typical High $446.68 | Professional | None (both parts) | $234.42 | $281.84 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $181.97 Typical High $281.84 | Professional | 26 · Professional part | $144.54 | $181.97 | $281.84 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $107.15 Typical High $169.82 | Professional | TC · Technical part | $89.13 | $107.15 | $169.82 |
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 $123.03 Median $125.89 Typical High $125.89 | Professional | 52 · Reduced service | $123.03 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $50.12 Typical High $51.29 | Professional | 53 · Discontinued | $48.98 | $50.12 | $51.29 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $104.71 Median $147.91 Typical High $239.88 | Professional | 51 · Multiple procedures | $104.71 | $147.91 | $239.88 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $38.02 Median $58.88 Typical High $87.10 | Professional | 80 · Assistant surgeon | $38.02 | $58.88 | $87.10 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $26.30 Median $40.74 Typical High $61.66 | Professional | 81 · Minimal assistant surgeon | $26.30 | $40.74 | $61.66 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $26.30 Median $40.74 Typical High $61.66 | Professional | 82 · Assistant surgeon, no resident | $26.30 | $40.74 | $61.66 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $26.30 Median $40.74 Typical High $61.66 | Professional | AS · PA/NP assist | $26.30 | $40.74 | $61.66 |
Where South Carolina sits
The same service costs 3.3 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· 43rd of 51
$251
AK $589TX $178
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.