How much rates vary
Facilitymedian $417 · 10th to 90th $186 to $603Professionalmedian $229 · 10th to 90th $87 to $355
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 $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $239.88 Typical High $269.15 | Professional | None (both parts) | $234.42 | $239.88 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $77.62 | $81.28 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $181.97 | Professional | TC · Technical part | $158.49 | $158.49 | $181.97 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $83.18 | $83.18 | $83.18 |
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 $208.93 Median $229.09 Typical High $269.15 | Professional | None (both parts) | $208.93 | $229.09 | $269.15 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $100.00 Typical High $112.20 | Professional | 26 · Professional part | $75.86 | $100.00 | $112.20 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $123.03 Typical High $165.96 | Professional | TC · Technical part | $109.65 | $123.03 | $165.96 |
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 $199.53 Median $229.09 Typical High $416.87 | Professional | None (both parts) | $199.53 | $229.09 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $87.10 Typical High $147.91 | Professional | 26 · Professional part | $77.62 | $87.10 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $144.54 Typical High $281.84 | Professional | TC · Technical part | $117.49 | $144.54 | $281.84 |
Medcost Setting Facility Modifier None Typical Low $239.88 Median $263.03 Typical High $645.65 | Facility | None | $239.88 | $263.03 | $645.65 |
Medcost Setting Professional Modifier None (both parts) Typical Low $199.53 Median $218.78 Typical High $331.13 | Professional | None (both parts) | $199.53 | $218.78 | $331.13 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $87.10 Typical High $131.83 | Professional | 26 · Professional part | $77.62 | $87.10 | $131.83 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $138.04 Typical High $263.03 | Professional | TC · Technical part | $117.49 | $138.04 | $263.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $75.86 Median $199.53 Typical High $363.08 | Professional | None (both parts) | $75.86 | $199.53 | $363.08 |
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 $190.55 Median $234.42 Typical High $380.19 | Professional | None (both parts) | $190.55 | $234.42 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $83.18 Typical High $138.04 | Professional | 26 · Professional part | $70.79 | $83.18 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $154.88 Typical High $245.47 | Professional | TC · Technical part | $117.49 | $154.88 | $245.47 |
5 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $100.00 Median $109.65 Typical High $199.53 | Professional | 51 · Multiple procedures | $100.00 | $109.65 | $199.53 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $39.81 Median $43.65 Typical High $79.43 | Professional | 80 · Assistant surgeon | $39.81 | $43.65 | $79.43 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $28.18 Median $30.20 Typical High $54.95 | Professional | 81 · Minimal assistant surgeon | $28.18 | $30.20 | $54.95 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $28.18 Median $30.20 Typical High $54.95 | Professional | 82 · Assistant surgeon, no resident | $28.18 | $30.20 | $54.95 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $28.18 Median $30.20 Typical High $54.95 | Professional | AS · PA/NP assist | $28.18 | $30.20 | $54.95 |
Where South Carolina sits
The same service costs 3.7 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
$229
AK $575TX $155
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.