How much rates vary
Facilitymedian $912 · 10th to 90th $288 to $1,288Professionalmedian $126 · 10th to 90th $78 to $214
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 $144.54 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $144.54 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $28.18 Typical High $28.18 | Professional | 26 · Professional part | $27.54 | $28.18 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $125.89 Typical High $125.89 | Professional | TC · Technical part | $117.49 | $125.89 | $125.89 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 26 · Professional part | $28.18 | $28.18 | $28.18 |
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 $100.00 Typical High $134.90 | Professional | None (both parts) | $95.50 | $100.00 | $134.90 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $36.31 Typical High $56.23 | Professional | 26 · Professional part | $25.12 | $36.31 | $56.23 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $63.10 Typical High $102.33 | Professional | TC · Technical part | $39.81 | $63.10 | $102.33 |
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 $102.33 Typical High $269.15 | Professional | None (both parts) | $81.28 | $102.33 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $30.90 Typical High $53.70 | Professional | 26 · Professional part | $27.54 | $30.90 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $72.44 Typical High $218.78 | Professional | TC · Technical part | $42.66 | $72.44 | $218.78 |
Medcost Setting Facility Modifier None Typical Low $60.26 Median $169.82 Typical High $416.87 | Facility | None | $60.26 | $169.82 | $416.87 |
Medcost Setting Professional Modifier None (both parts) Typical Low $72.44 Median $125.89 Typical High $251.19 | Professional | None (both parts) | $72.44 | $125.89 | $251.19 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $34.67 Typical High $46.77 | Professional | 26 · Professional part | $28.18 | $34.67 | $46.77 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $97.72 Typical High $208.93 | Professional | TC · Technical part | $57.54 | $97.72 | $208.93 |
Molina Setting Professional Modifier None (both parts) Typical Low $51.29 Median $138.04 Typical High $223.87 | Professional | None (both parts) | $51.29 | $138.04 | $223.87 |
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 $100.00 Median $134.90 Typical High $213.80 | Professional | None (both parts) | $100.00 | $134.90 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $29.51 Typical High $47.86 | Professional | 26 · Professional part | $25.12 | $29.51 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $107.15 Typical High $173.78 | Professional | TC · Technical part | $74.13 | $107.15 | $173.78 |
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 $72.44 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $72.44 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $28.84 | $30.90 | $30.90 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $36.31 Median $63.10 Typical High $147.91 | Professional | 51 · Multiple procedures | $36.31 | $63.10 | $147.91 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $14.45 Median $25.12 Typical High $58.88 | Professional | 80 · Assistant surgeon | $14.45 | $25.12 | $58.88 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.00 Median $17.78 Typical High $41.69 | Professional | 81 · Minimal assistant surgeon | $10.00 | $17.78 | $41.69 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.00 Median $17.78 Typical High $41.69 | Professional | 82 · Assistant surgeon, no resident | $10.00 | $17.78 | $41.69 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $10.00 Median $17.78 Typical High $41.69 | Professional | AS · PA/NP assist | $10.00 | $17.78 | $41.69 |
Where South Carolina sits
The same service costs 3.2 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· 44th of 51
$132
AK $324TX $102
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.