How much rates vary
Facilitymedian $912 · 10th to 90th $288 to $1,288Professionalmedian $155 · 10th to 90th $78 to $263
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 $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $177.83 Typical High $181.97 | Professional | None (both parts) | $162.18 | $177.83 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.84 Typical High $29.51 | Professional | 26 · Professional part | $28.18 | $28.84 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $147.91 Typical High $151.36 | Professional | TC · Technical part | $134.90 | $147.91 | $151.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
BCBS South Carolina Setting Facility Modifier None Typical Low $416.87 Median $933.25 Typical High $1,288.25 | Facility | None | $416.87 | $933.25 | $1,288.25 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | TC · Technical part | $562.34 | $562.34 | $562.34 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $95.50 Median $128.82 Typical High $147.91 | Professional | None (both parts) | $95.50 | $128.82 | $147.91 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $26.30 Typical High $36.31 | Professional | 26 · Professional part | $12.88 | $26.30 | $36.31 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $93.33 Typical High $120.23 | Professional | TC · Technical part | $83.18 | $93.33 | $120.23 |
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 $81.28 Median $112.20 Typical High $309.03 | Professional | None (both parts) | $81.28 | $112.20 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $31.62 Typical High $53.70 | Professional | 26 · Professional part | $28.18 | $31.62 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $72.44 Typical High $257.04 | Professional | TC · Technical part | $43.65 | $72.44 | $257.04 |
Medcost Setting Facility Modifier None Typical Low $60.26 Median $194.98 Typical High $467.74 | Facility | None | $60.26 | $194.98 | $467.74 |
Medcost Setting Professional Modifier None (both parts) Typical Low $72.44 Median $128.82 Typical High $281.84 | Professional | None (both parts) | $72.44 | $128.82 | $281.84 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.88 Typical High $64.57 | Professional | 26 · Professional part | $28.18 | $33.88 | $64.57 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $102.33 Typical High $239.88 | Professional | TC · Technical part | $58.88 | $102.33 | $239.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $51.29 Median $177.83 Typical High $281.84 | Professional | None (both parts) | $51.29 | $177.83 | $281.84 |
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 $102.33 Median $141.25 Typical High $234.42 | Professional | None (both parts) | $102.33 | $141.25 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.20 Typical High $47.86 | Professional | 26 · Professional part | $25.70 | $30.20 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $109.65 Typical High $194.98 | Professional | TC · Technical part | $77.62 | $109.65 | $194.98 |
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 $79.43 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $79.43 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $31.62 | $35.48 | $35.48 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $36.31 Median $64.57 Typical High $165.96 | Professional | 51 · Multiple procedures | $36.31 | $64.57 | $165.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $14.45 Median $25.70 Typical High $66.07 | Professional | 80 · Assistant surgeon | $14.45 | $25.70 | $66.07 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.00 Median $18.20 Typical High $46.77 | Professional | 81 · Minimal assistant surgeon | $10.00 | $18.20 | $46.77 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.00 Median $18.20 Typical High $46.77 | Professional | 82 · Assistant surgeon, no resident | $10.00 | $18.20 | $46.77 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $10.00 Median $18.20 Typical High $46.77 | Professional | AS · PA/NP assist | $10.00 | $18.20 | $46.77 |
Where South Carolina sits
The same service costs 2.9 times more in Alaska than in New Mexico. 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· 40th of 51
$158
AK $347NM $120
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.