How much rates vary
Facilitymedian $240 · 10th to 90th $105 to $525Professionalmedian $79 · 10th to 90th $38 to $148
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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $89.13 Typical High $100.00 | Professional | None (both parts) | $83.18 | $89.13 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $45.71 Typical High $51.29 | Professional | 26 · Professional part | $44.67 | $45.71 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $42.66 Typical High $50.12 | Professional | TC · Technical part | $40.74 | $42.66 | $50.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $75.86 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $75.86 | $85.11 | $85.11 |
BCBS South Carolina Setting Facility Modifier None Typical Low $123.03 Median $245.47 Typical High $512.86 | Facility | None | $123.03 | $245.47 | $512.86 |
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 $69.18 Median $77.62 Typical High $93.33 | Professional | None (both parts) | $69.18 | $77.62 | $93.33 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $51.29 Typical High $64.57 | Professional | 26 · Professional part | $42.66 | $51.29 | $64.57 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $17.78 Typical High $42.66 | Professional | TC · Technical part | $16.60 | $17.78 | $42.66 |
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 $69.18 Median $81.28 Typical High $154.88 | Professional | None (both parts) | $69.18 | $81.28 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $50.12 Typical High $83.18 | Professional | 26 · Professional part | $44.67 | $50.12 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $24.55 Typical High $74.13 | Professional | TC · Technical part | $16.98 | $24.55 | $74.13 |
Medcost Setting Facility Modifier None Typical Low $57.54 Median $97.72 Typical High $239.88 | Facility | None | $57.54 | $97.72 | $239.88 |
Medcost Setting Professional Modifier None (both parts) Typical Low $66.07 Median $75.86 Typical High $114.82 | Professional | None (both parts) | $66.07 | $75.86 | $114.82 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $54.95 Typical High $75.86 | Professional | 26 · Professional part | $41.69 | $54.95 | $75.86 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $29.51 Typical High $70.79 | Professional | TC · Technical part | $20.89 | $29.51 | $70.79 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $60.26 Typical High $165.96 | Professional | None (both parts) | $33.88 | $60.26 | $165.96 |
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 $69.18 Median $83.18 Typical High $141.25 | Professional | None (both parts) | $69.18 | $83.18 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $48.98 Typical High $79.43 | Professional | 26 · Professional part | $40.74 | $48.98 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $38.02 Typical High $61.66 | Professional | TC · Technical part | $25.12 | $38.02 | $61.66 |
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 $43.65 Median $44.67 Typical High $44.67 | Professional | 52 · Reduced service | $43.65 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.78 Typical High $17.78 | Professional | 53 · Discontinued | $17.38 | $17.78 | $17.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $34.67 Median $38.02 Typical High $75.86 | Professional | 51 · Multiple procedures | $34.67 | $38.02 | $75.86 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $14.13 Median $15.14 Typical High $30.20 | Professional | 80 · Assistant surgeon | $14.13 | $15.14 | $30.20 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.77 Median $10.72 Typical High $21.38 | Professional | 81 · Minimal assistant surgeon | $9.77 | $10.72 | $21.38 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.77 Median $10.72 Typical High $21.38 | Professional | 82 · Assistant surgeon, no resident | $9.77 | $10.72 | $21.38 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $9.77 Median $10.72 Typical High $21.38 | Professional | AS · PA/NP assist | $9.77 | $10.72 | $21.38 |
Where South Carolina sits
The same service costs 3.2 times more in Alaska than in Alabama. 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· 44th of 51
$81.28
AK $219AL $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.