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 $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $50.12 | Professional | None (both parts) | $33.11 | $33.11 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 26 · Professional part | $10.72 | $10.72 | $10.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | TC · Technical part | $22.39 | $22.39 | $22.39 |
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 $46.77 Median $46.77 Typical High $46.77 | Professional | None (both parts) | $46.77 | $46.77 | $46.77 |
Medcost Setting Facility Modifier None Typical Low $33.11 Median $39.81 Typical High $44.67 | Facility | None | $33.11 | $39.81 | $44.67 |
Medcost Setting Professional Modifier None (both parts) Typical Low $41.69 Median $43.65 Typical High $85.11 | Professional | None (both parts) | $41.69 | $43.65 | $85.11 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $11.48 Typical High $27.54 | Professional | 26 · Professional part | $11.48 | $11.48 | $27.54 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $56.23 | Professional | TC · Technical part | $25.12 | $25.12 | $56.23 |
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 $20.89 Median $21.88 Typical High $57.54 | Professional | 51 · Multiple procedures | $20.89 | $21.88 | $57.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.32 Median $8.71 Typical High $22.91 | Professional | 80 · Assistant surgeon | $8.32 | $8.71 | $22.91 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.89 Median $6.03 Typical High $16.22 | Professional | 81 · Minimal assistant surgeon | $5.89 | $6.03 | $16.22 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.89 Median $6.03 Typical High $16.22 | Professional | 82 · Assistant surgeon, no resident | $5.89 | $6.03 | $16.22 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.89 Median $6.03 Typical High $16.22 | Professional | AS · PA/NP assist | $5.89 | $6.03 | $16.22 |
Where South Carolina sits
The same service costs 9.5 times more in Texas 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· 41st of 51
$46.77
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.