How much rates vary
Facilitymedian $4,786 · 10th to 90th $1,413 to $7,244Professionalmedian $398 · 10th to 90th $219 to $1,514
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 $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,023.29 Typical High $1,047.13 | Professional | None (both parts) | $1,000.00 | $1,023.29 | $1,047.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $213.80 Typical High $213.80 | Professional | 26 · Professional part | $208.93 | $213.80 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $812.83 Typical High $831.76 | Professional | TC · Technical part | $794.33 | $812.83 | $831.76 |
BCBS South Carolina Setting Facility Modifier None Typical Low $2,238.72 Median $5,128.61 Typical High $7,244.36 | Facility | None | $2,238.72 | $5,128.61 | $7,244.36 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Facility | TC · Technical part | $3,090.30 | $3,090.30 | $3,090.30 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $316.23 | Professional | None (both parts) | $302.00 | $302.00 | $316.23 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $204.17 Typical High $204.17 | Professional | 26 · Professional part | $194.98 | $204.17 | $204.17 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $104.71 | Professional | TC · Technical part | $100.00 | $100.00 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,096.48 Typical High $1,819.70 | Professional | None (both parts) | $1,023.29 | $1,096.48 | $1,819.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $229.09 Typical High $389.05 | Professional | 26 · Professional part | $204.17 | $229.09 | $389.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $870.96 Typical High $1,445.44 | Professional | TC · Technical part | $831.76 | $870.96 | $1,445.44 |
Medcost Setting Facility Modifier None Typical Low $1,023.29 Median $1,122.02 Typical High $1,380.38 | Facility | None | $1,023.29 | $1,122.02 | $1,380.38 |
Medcost Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,148.15 Typical High $1,479.11 | Professional | None (both parts) | $758.58 | $1,148.15 | $1,479.11 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $251.19 Typical High $354.81 | Professional | 26 · Professional part | $213.80 | $251.19 | $354.81 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $912.01 Typical High $1,318.26 | Professional | TC · Technical part | $794.33 | $912.01 | $1,318.26 |
Molina Setting Professional Modifier None (both parts) Typical Low $199.53 Median $251.19 Typical High $380.19 | Professional | None (both parts) | $199.53 | $251.19 | $380.19 |
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 $602.56 Median $1,737.80 Typical High $2,630.27 | Professional | None (both parts) | $602.56 | $1,737.80 | $2,630.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $229.09 Typical High $363.08 | Professional | 26 · Professional part | $186.21 | $229.09 | $363.08 |
United Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $1,513.56 Typical High $2,398.83 | Professional | TC · Technical part | $371.54 | $1,513.56 | $2,398.83 |
9 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 $501.19 Median $512.86 Typical High $512.86 | Professional | 52 · Reduced service | $501.19 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $204.17 Typical High $204.17 | Professional | 53 · Discontinued | $199.53 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $151.36 Typical High $151.36 | Professional | 55 · Aftercare only | $147.91 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $102.33 Typical High $102.33 | Professional | 56 · Pre-op care only | $100.00 | $102.33 | $102.33 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $380.19 Median $575.44 Typical High $891.25 | Professional | 51 · Multiple procedures | $380.19 | $575.44 | $891.25 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $154.88 Median $229.09 Typical High $354.81 | Professional | 80 · Assistant surgeon | $154.88 | $229.09 | $354.81 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $107.15 Median $162.18 Typical High $245.47 | Professional | 81 · Minimal assistant surgeon | $107.15 | $162.18 | $245.47 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $107.15 Median $162.18 Typical High $245.47 | Professional | 82 · Assistant surgeon, no resident | $107.15 | $162.18 | $245.47 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $107.15 Median $162.18 Typical High $245.47 | Professional | AS · PA/NP assist | $107.15 | $162.18 | $245.47 |
Where South Carolina sits
The same service costs 11.2 times more in Alaska than in Kentucky. 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· 45th of 51
$851
AK $3,020KY $269
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.