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 $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $12.59 Median $12.59 Typical High $14.79 | Professional | None (both parts) | $12.59 | $12.59 | $14.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | 26 · Professional part | $4.79 | $4.79 | $4.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | TC · Technical part | $7.76 | $7.76 | $7.76 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,348.96 Median $2,290.87 Typical High $4,265.80 | Facility | None | $1,348.96 | $2,290.87 | $4,265.80 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | None (both parts) | $15.85 | $15.85 | $15.85 |
Medcost Setting Facility Modifier None Typical Low $12.59 Median $14.79 Typical High $16.98 | Facility | None | $12.59 | $14.79 | $16.98 |
Medcost Setting Professional Modifier None (both parts) Typical Low $14.45 Median $14.79 Typical High $30.90 | Professional | None (both parts) | $14.45 | $14.79 | $30.90 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $5.13 Median $5.13 Typical High $12.02 | Professional | 26 · Professional part | $5.13 | $5.13 | $12.02 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $8.51 Median $8.51 Typical High $19.05 | Professional | TC · Technical part | $8.51 | $8.51 | $19.05 |
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 $7.24 Median $7.41 Typical High $21.38 | Professional | 51 · Multiple procedures | $7.24 | $7.41 | $21.38 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $2.95 Median $3.02 Typical High $8.51 | Professional | 80 · Assistant surgeon | $2.95 | $3.02 | $8.51 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.04 Median $2.09 Typical High $6.03 | Professional | 81 · Minimal assistant surgeon | $2.04 | $2.09 | $6.03 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.04 Median $2.09 Typical High $6.03 | Professional | 82 · Assistant surgeon, no resident | $2.04 | $2.09 | $6.03 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.04 Median $2.09 Typical High $6.03 | Professional | AS · PA/NP assist | $2.04 | $2.09 | $6.03 |
Where South Carolina sits
The same service costs 30.2 times more in Arizona than in New Jersey. 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· 38th of 51
$15.85
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.