How much rates vary
Facilitymedian $891 · 10th to 90th $288 to $1,288Professionalmedian $69 · 10th to 90th $41 to $117
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 $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $66.07 Typical High $138.04 | Professional | None (both parts) | $63.10 | $66.07 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $19.05 Typical High $20.89 | Professional | 26 · Professional part | $18.20 | $19.05 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $47.86 Typical High $114.82 | Professional | TC · Technical part | $44.67 | $47.86 | $114.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None (both parts) | $58.88 | $58.88 | $58.88 |
BCBS South Carolina Setting Facility Modifier None Typical Low $407.38 Median $933.25 Typical High $1,288.25 | Facility | None | $407.38 | $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 $54.95 Median $89.13 Typical High $104.71 | Professional | None (both parts) | $54.95 | $89.13 | $104.71 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $24.55 Typical High $42.66 | Professional | 26 · Professional part | $17.38 | $24.55 | $42.66 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $70.79 Typical High $81.28 | Professional | TC · Technical part | $12.02 | $70.79 | $81.28 |
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 $70.79 Median $104.71 Typical High $144.54 | Professional | None (both parts) | $70.79 | $104.71 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $20.42 Typical High $35.48 | Professional | 26 · Professional part | $18.20 | $20.42 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $87.10 Typical High $123.03 | Professional | TC · Technical part | $50.12 | $87.10 | $123.03 |
Medcost Setting Facility Modifier None Typical Low $61.66 Median $72.44 Typical High $181.97 | Facility | None | $61.66 | $72.44 | $181.97 |
Medcost Setting Professional Modifier None (both parts) Typical Low $58.88 Median $87.10 Typical High $131.83 | Professional | None (both parts) | $58.88 | $87.10 | $131.83 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $21.88 Typical High $42.66 | Professional | 26 · Professional part | $18.20 | $21.88 | $42.66 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $89.13 Typical High $109.65 | Professional | TC · Technical part | $53.70 | $89.13 | $109.65 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $61.66 Typical High $112.20 | Professional | None (both parts) | $33.88 | $61.66 | $112.20 |
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 $63.10 Median $93.33 Typical High $151.36 | Professional | None (both parts) | $63.10 | $93.33 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $19.50 Typical High $33.11 | Professional | 26 · Professional part | $16.98 | $19.50 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $69.18 Typical High $128.82 | Professional | TC · Technical part | $43.65 | $69.18 | $128.82 |
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 $31.62 Median $33.11 Typical High $34.67 | Professional | 52 · Reduced service | $31.62 | $33.11 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $13.18 Typical High $13.80 | Professional | 53 · Discontinued | $12.59 | $13.18 | $13.80 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $30.20 Median $56.23 Typical High $97.72 | Professional | 51 · Multiple procedures | $30.20 | $56.23 | $97.72 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $12.02 Median $22.39 Typical High $39.81 | Professional | 80 · Assistant surgeon | $12.02 | $22.39 | $39.81 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.32 Median $15.85 Typical High $27.54 | Professional | 81 · Minimal assistant surgeon | $8.32 | $15.85 | $27.54 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.32 Median $15.85 Typical High $27.54 | Professional | 82 · Assistant surgeon, no resident | $8.32 | $15.85 | $27.54 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $8.32 Median $15.85 Typical High $27.54 | Professional | AS · PA/NP assist | $8.32 | $15.85 | $27.54 |
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· 38th of 51
$72.44
AK $162TX $51.29
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.