How much rates vary
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 $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $47.86 | Professional | None (both parts) | $41.69 | $41.69 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 26 · Professional part | $15.49 | $15.49 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | TC · Technical part | $26.30 | $26.30 | $26.30 |
BCBS South Carolina Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $389.05 | Facility | None | $331.13 | $331.13 | $389.05 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None (both parts) | $50.12 | $50.12 | $50.12 |
Medcost Setting Facility Modifier None Typical Low $41.69 Median $45.71 Typical High $56.23 | Facility | None | $41.69 | $45.71 | $56.23 |
Medcost Setting Professional Modifier None (both parts) Typical Low $45.71 Median $46.77 Typical High $100.00 | Professional | None (both parts) | $45.71 | $46.77 | $100.00 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $16.98 Typical High $39.81 | Professional | 26 · Professional part | $16.98 | $16.98 | $39.81 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $64.57 | Professional | TC · Technical part | $28.84 | $28.84 | $64.57 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
5 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $22.39 Median $22.91 Typical High $72.44 | Professional | 51 · Multiple procedures | $22.39 | $22.91 | $72.44 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $9.12 Median $9.33 Typical High $28.84 | Professional | 80 · Assistant surgeon | $9.12 | $9.33 | $28.84 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.31 Median $6.46 Typical High $19.95 | Professional | 81 · Minimal assistant surgeon | $6.31 | $6.46 | $19.95 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.31 Median $6.46 Typical High $19.95 | Professional | 82 · Assistant surgeon, no resident | $6.31 | $6.46 | $19.95 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.31 Median $6.46 Typical High $19.95 | Professional | AS · PA/NP assist | $6.31 | $6.46 | $19.95 |
Where South Carolina sits
The same service costs 10.5 times more in Arizona than in West Virginia. 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
$50.12
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.