How much rates vary
Facilitymedian $851 · 10th to 90th $363 to $1,288Professionalmedian $372 · 10th to 90th $191 to $646
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 $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $363.08 Typical High $389.05 | Professional | None (both parts) | $338.84 | $363.08 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $45.71 Typical High $48.98 | Professional | 26 · Professional part | $43.65 | $45.71 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $316.23 Typical High $338.84 | Professional | TC · Technical part | $295.12 | $316.23 | $338.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $74.13 | Professional | 26 · Professional part | $47.86 | $47.86 | $74.13 |
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 $190.55 Median $229.09 Typical High $371.54 | Professional | None (both parts) | $190.55 | $229.09 | $371.54 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $69.18 Typical High $77.62 | Professional | 26 · Professional part | $43.65 | $69.18 | $77.62 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $158.49 Typical High $331.13 | Professional | TC · Technical part | $123.03 | $158.49 | $331.13 |
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 $331.13 Median $354.81 Typical High $645.65 | Professional | None (both parts) | $331.13 | $354.81 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $51.29 Typical High $87.10 | Professional | 26 · Professional part | $50.12 | $51.29 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $309.03 Typical High $549.54 | Professional | TC · Technical part | $275.42 | $309.03 | $549.54 |
Medcost Setting Facility Modifier None Typical Low $295.12 Median $363.08 Typical High $1,000.00 | Facility | None | $295.12 | $363.08 | $1,000.00 |
Medcost Setting Professional Modifier None (both parts) Typical Low $269.15 Median $323.59 Typical High $467.74 | Professional | None (both parts) | $269.15 | $323.59 | $467.74 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $79.43 | Professional | 26 · Professional part | $50.12 | $50.12 | $79.43 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $281.84 Typical High $524.81 | Professional | TC · Technical part | $275.42 | $281.84 | $524.81 |
Molina Setting Professional Modifier None (both parts) Typical Low $51.29 Median $446.68 Typical High $691.83 | Professional | None (both parts) | $51.29 | $446.68 | $691.83 |
United Setting Facility Modifier None Typical Low $3,630.78 Median $4,365.16 Typical High $5,754.40 | Facility | None | $3,630.78 | $4,365.16 | $5,754.40 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $354.81 Typical High $575.44 | Professional | None (both parts) | $288.40 | $354.81 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $51.29 Typical High $81.28 | Professional | 26 · Professional part | $41.69 | $51.29 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $309.03 Typical High $512.86 | Professional | TC · Technical part | $245.47 | $309.03 | $512.86 |
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 $173.78 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $173.78 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $69.18 | $72.44 | $72.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $162.18 Median $162.18 Typical High $309.03 | Professional | 51 · Multiple procedures | $162.18 | $162.18 | $309.03 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $53.70 Median $64.57 Typical High $123.03 | Professional | 80 · Assistant surgeon | $53.70 | $64.57 | $123.03 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $38.02 Median $45.71 Typical High $85.11 | Professional | 81 · Minimal assistant surgeon | $38.02 | $45.71 | $85.11 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $38.02 Median $45.71 Typical High $85.11 | Professional | 82 · Assistant surgeon, no resident | $38.02 | $45.71 | $85.11 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $38.02 Median $45.71 Typical High $85.11 | Professional | AS · PA/NP assist | $38.02 | $45.71 | $85.11 |
Where South Carolina sits
The same service costs 3.0 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· 32nd of 51
$372
AK $813NM $275
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.