How much rates vary
Facilitymedian $407 · 10th to 90th $170 to $603Professionalmedian $162 · 10th to 90th $83 to $251
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 $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $154.88 Typical High $181.97 | Professional | None (both parts) | $147.91 | $154.88 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $89.13 Typical High $102.33 | Professional | 26 · Professional part | $85.11 | $89.13 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $64.57 Typical High $77.62 | Professional | TC · Technical part | $61.66 | $64.57 | $77.62 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $147.91 Median $158.49 Typical High $218.78 | Professional | None (both parts) | $147.91 | $158.49 | $218.78 |
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 $147.91 Median $162.18 Typical High $223.87 | Professional | None (both parts) | $147.91 | $162.18 | $223.87 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $107.15 Typical High $154.88 | Professional | 26 · Professional part | $85.11 | $107.15 | $154.88 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $61.66 Typical High $74.13 | Professional | TC · Technical part | $54.95 | $61.66 | $74.13 |
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 $158.49 Median $169.82 Typical High $295.12 | Professional | None (both parts) | $158.49 | $169.82 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $102.33 Typical High $169.82 | Professional | 26 · Professional part | $95.50 | $102.33 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $67.61 Typical High $123.03 | Professional | TC · Technical part | $61.66 | $67.61 | $123.03 |
Medcost Setting Facility Modifier None Typical Low $154.88 Median $165.96 Typical High $407.38 | Facility | None | $154.88 | $165.96 | $407.38 |
Medcost Setting Professional Modifier None (both parts) Typical Low $117.49 Median $165.96 Typical High $213.80 | Professional | None (both parts) | $117.49 | $165.96 | $213.80 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $154.88 | Professional | 26 · Professional part | $100.00 | $100.00 | $154.88 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $104.71 | Professional | TC · Technical part | $66.07 | $66.07 | $104.71 |
Molina Setting Professional Modifier None (both parts) Typical Low $72.44 Median $131.83 Typical High $263.03 | Professional | None (both parts) | $72.44 | $131.83 | $263.03 |
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 $138.04 Median $165.96 Typical High $251.19 | Professional | None (both parts) | $138.04 | $165.96 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $100.00 Typical High $154.88 | Professional | 26 · Professional part | $81.28 | $100.00 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $66.07 Typical High $104.71 | Professional | TC · Technical part | $54.95 | $66.07 | $104.71 |
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 $74.13 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $74.13 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $29.51 | $30.90 | $30.90 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $58.88 Median $83.18 Typical High $134.90 | Professional | 51 · Multiple procedures | $58.88 | $83.18 | $134.90 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $23.44 Median $33.11 Typical High $53.70 | Professional | 80 · Assistant surgeon | $23.44 | $33.11 | $53.70 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.22 Median $23.44 Typical High $37.15 | Professional | 81 · Minimal assistant surgeon | $16.22 | $23.44 | $37.15 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.22 Median $23.44 Typical High $37.15 | Professional | 82 · Assistant surgeon, no resident | $16.22 | $23.44 | $37.15 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $16.22 Median $23.44 Typical High $37.15 | Professional | AS · PA/NP assist | $16.22 | $23.44 | $37.15 |
Where South Carolina sits
The same service costs 3.6 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· 31st of 51
$162
AK $380TX $105
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.