How much rates vary
Facilitymedian $204 · 10th to 90th $83 to $302Professionalmedian $83 · 10th to 90th $63 to $148
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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $85.11 | Professional | None (both parts) | $83.18 | $83.18 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $30.90 | $32.36 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $53.70 | Professional | TC · Technical part | $50.12 | $50.12 | $53.70 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
BCBS South Carolina Setting Facility Modifier None Typical Low $95.50 Median $213.80 Typical High $302.00 | Facility | None | $95.50 | $213.80 | $302.00 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | TC · Technical part | $128.82 | $128.82 | $128.82 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $79.43 Median $81.28 Typical High $100.00 | Professional | None (both parts) | $79.43 | $81.28 | $100.00 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $37.15 Typical High $54.95 | Professional | 26 · Professional part | $30.90 | $37.15 | $54.95 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $42.66 Typical High $52.48 | Professional | TC · Technical part | $34.67 | $42.66 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $81.28 Typical High $147.91 | Professional | None (both parts) | $64.57 | $81.28 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $33.88 Typical High $58.88 | Professional | 26 · Professional part | $30.20 | $33.88 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $38.02 Typical High $89.13 | Professional | TC · Technical part | $33.11 | $38.02 | $89.13 |
Medcost Setting Facility Modifier None Typical Low $57.54 Median $91.20 Typical High $218.78 | Facility | None | $57.54 | $91.20 | $218.78 |
Medcost Setting Professional Modifier None (both parts) Typical Low $67.61 Median $70.79 Typical High $131.83 | Professional | None (both parts) | $67.61 | $70.79 | $131.83 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $37.15 Typical High $54.95 | Professional | 26 · Professional part | $29.51 | $37.15 | $54.95 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $37.15 Typical High $83.18 | Professional | TC · Technical part | $34.67 | $37.15 | $83.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $50.12 Median $100.00 Typical High $165.96 | Professional | None (both parts) | $50.12 | $100.00 | $165.96 |
United Setting Facility Modifier None Typical Low $245.47 Median $302.00 Typical High $389.05 | Facility | None | $245.47 | $302.00 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $79.43 Typical High $131.83 | Professional | None (both parts) | $64.57 | $79.43 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.11 Typical High $54.95 | Professional | 26 · Professional part | $28.18 | $33.11 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $47.86 Typical High $79.43 | Professional | TC · Technical part | $34.67 | $47.86 | $79.43 |
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 $41.69 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $16.60 | $16.60 | $16.60 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $33.11 Median $34.67 Typical High $70.79 | Professional | 51 · Multiple procedures | $33.11 | $34.67 | $70.79 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $13.49 Median $14.13 Typical High $28.18 | Professional | 80 · Assistant surgeon | $13.49 | $14.13 | $28.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.33 Median $9.77 Typical High $19.95 | Professional | 81 · Minimal assistant surgeon | $9.33 | $9.77 | $19.95 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.33 Median $9.77 Typical High $19.95 | Professional | 82 · Assistant surgeon, no resident | $9.33 | $9.77 | $19.95 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $9.33 Median $9.77 Typical High $19.95 | Professional | AS · PA/NP assist | $9.33 | $9.77 | $19.95 |
Where South Carolina sits
The same service costs 3.0 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· 35th of 51
$85.11
AK $204TX $69.18
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.