How much rates vary
Facilitymedian $724 · 10th to 90th $407 to $1,230Professionalmedian $107 · 10th to 90th $85 to $138
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 $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $109.65 | $114.82 | $114.82 |
BCBS South Carolina Setting Facility Modifier None Typical Low $426.58 Median $724.44 Typical High $1,230.27 | Facility | None | $426.58 | $724.44 | $1,230.27 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $85.11 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $85.11 | $104.71 | $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 $120.23 Median $173.78 Typical High $239.88 | Professional | None (both parts) | $120.23 | $173.78 | $239.88 |
Medcost Setting Facility Modifier None Typical Low $102.33 Median $114.82 Typical High $302.00 | Facility | None | $102.33 | $114.82 | $302.00 |
Medcost Setting Professional Modifier None (both parts) Typical Low $97.72 Median $123.03 Typical High $147.91 | Professional | None (both parts) | $97.72 | $123.03 | $147.91 |
Molina Setting Professional Modifier None (both parts) Typical Low $70.79 Median $87.10 Typical High $131.83 | Professional | None (both parts) | $70.79 | $87.10 | $131.83 |
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 $93.33 Median $114.82 Typical High $190.55 | Professional | None (both parts) | $93.33 | $114.82 | $190.55 |
10 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 $54.95 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $54.95 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $21.88 | $22.91 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $107.15 Typical High $158.49 | Professional | TC · Technical part | $95.50 | $107.15 | $158.49 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $50.12 Typical High $74.13 | Professional | 26 · Professional part | $42.66 | $50.12 | $74.13 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $53.70 Median $61.66 Typical High $97.72 | Professional | 51 · Multiple procedures | $53.70 | $61.66 | $97.72 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $21.38 Median $24.55 Typical High $39.81 | Professional | 80 · Assistant surgeon | $21.38 | $24.55 | $39.81 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $15.14 Median $17.38 Typical High $27.54 | Professional | 81 · Minimal assistant surgeon | $15.14 | $17.38 | $27.54 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $15.14 Median $17.38 Typical High $27.54 | Professional | 82 · Assistant surgeon, no resident | $15.14 | $17.38 | $27.54 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $15.14 Median $17.38 Typical High $27.54 | Professional | AS · PA/NP assist | $15.14 | $17.38 | $27.54 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $112.20 Typical High $144.54 | Professional | TC · Technical part | $64.57 | $112.20 | $144.54 |
Where South Carolina sits
The same service costs 3.2 times more in Alaska than in Florida. 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· 40th of 51
$112
AK $282FL $89.13
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.