How much rates vary
Facilitymedian $813 · 10th to 90th $324 to $1,175Professionalmedian $162 · 10th to 90th $81 to $209
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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $190.55 | Professional | None (both parts) | $97.72 | $97.72 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $42.66 Typical High $70.79 | Professional | 26 · Professional part | $40.74 | $42.66 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $56.23 Typical High $117.49 | Professional | TC · Technical part | $53.70 | $56.23 | $117.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $97.72 | $97.72 | $97.72 |
BCBS South Carolina Setting Facility Modifier None Typical Low $371.54 Median $831.76 Typical High $1,174.90 | Facility | None | $371.54 | $831.76 | $1,174.90 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | TC · Technical part | $489.78 | $489.78 | $489.78 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $81.28 Median $162.18 Typical High $186.21 | Professional | None (both parts) | $81.28 | $162.18 | $186.21 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $64.57 Typical High $74.13 | Professional | 26 · Professional part | $36.31 | $64.57 | $74.13 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $97.72 Typical High $112.20 | Professional | TC · Technical part | $44.67 | $97.72 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $81.28 | $81.28 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $35.48 | $35.48 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | TC · Technical part | $46.77 | $46.77 | $46.77 |
Medcost Setting Facility Modifier None Typical Low $97.72 Median $117.49 Typical High $134.90 | Facility | None | $97.72 | $117.49 | $134.90 |
Medcost Setting Professional Modifier None (both parts) Typical Low $112.20 Median $177.83 Typical High $245.47 | Professional | None (both parts) | $112.20 | $177.83 | $245.47 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $75.86 Typical High $100.00 | Professional | 26 · Professional part | $47.86 | $75.86 | $100.00 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $100.00 Typical High $147.91 | Professional | TC · Technical part | $64.57 | $100.00 | $147.91 |
United Setting Facility Modifier None Typical Low $912.01 Median $1,096.48 Typical High $1,445.44 | Facility | None | $912.01 | $1,096.48 | $1,445.44 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $181.97 Typical High $288.40 | Professional | None (both parts) | $120.23 | $181.97 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $79.43 Typical High $114.82 | Professional | 26 · Professional part | $54.95 | $79.43 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $107.15 Typical High $169.82 | Professional | TC · Technical part | $64.57 | $107.15 | $169.82 |
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 $56.23 Median $87.10 Typical High $123.03 | Professional | 51 · Multiple procedures | $56.23 | $87.10 | $123.03 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $22.39 Median $35.48 Typical High $50.12 | Professional | 80 · Assistant surgeon | $22.39 | $35.48 | $50.12 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $15.49 Median $24.55 Typical High $34.67 | Professional | 81 · Minimal assistant surgeon | $15.49 | $24.55 | $34.67 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $15.49 Median $24.55 Typical High $34.67 | Professional | 82 · Assistant surgeon, no resident | $15.49 | $24.55 | $34.67 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $15.49 Median $24.55 Typical High $34.67 | Professional | AS · PA/NP assist | $15.49 | $24.55 | $34.67 |
Where South Carolina sits
The same service costs 3.5 times more in Nebraska than in New Mexico. 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· 35th of 51
$162
NE $331NM $93.33
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.