How much rates vary
Facilitymedian $813 · 10th to 90th $339 to $1,175Professionalmedian $138 · 10th to 90th $95 to $195
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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $104.71 Typical High $151.36 | Professional | None (both parts) | $95.50 | $104.71 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $46.77 Typical High $60.26 | Professional | 26 · Professional part | $41.69 | $46.77 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $58.88 Typical High $81.28 | Professional | TC · Technical part | $53.70 | $58.88 | $81.28 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $74.13 | $74.13 | $74.13 |
BCBS South Carolina Setting Facility Modifier None Typical Low $371.54 Median $812.83 Typical High $1,174.90 | Facility | None | $371.54 | $812.83 | $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 $138.04 Median $138.04 Typical High $147.91 | Professional | None (both parts) | $138.04 | $138.04 | $147.91 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $41.69 | Professional | 26 · Professional part | $38.90 | $38.90 | $41.69 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $107.15 | Professional | TC · Technical part | $100.00 | $100.00 | $107.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None (both parts) | $69.18 | $69.18 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 26 · Professional part | $30.20 | $30.20 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | TC · Technical part | $38.90 | $38.90 | $38.90 |
Medcost Setting Facility Modifier None Typical Low $104.71 Median $125.89 Typical High $141.25 | Facility | None | $104.71 | $125.89 | $141.25 |
Medcost Setting Professional Modifier None (both parts) Typical Low $104.71 Median $147.91 Typical High $223.87 | Professional | None (both parts) | $104.71 | $147.91 | $223.87 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $64.57 Typical High $89.13 | Professional | 26 · Professional part | $52.48 | $64.57 | $89.13 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $83.18 Typical High $134.90 | Professional | TC · Technical part | $66.07 | $83.18 | $134.90 |
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 $138.04 Median $173.78 Typical High $275.42 | Professional | None (both parts) | $138.04 | $173.78 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $74.13 Typical High $109.65 | Professional | 26 · Professional part | $53.70 | $74.13 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $97.72 Typical High $169.82 | Professional | TC · Technical part | $79.43 | $97.72 | $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 $52.48 Median $74.13 Typical High $112.20 | Professional | 51 · Multiple procedures | $52.48 | $74.13 | $112.20 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $21.38 Median $29.51 Typical High $44.67 | Professional | 80 · Assistant surgeon | $21.38 | $29.51 | $44.67 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $14.79 Median $20.89 Typical High $30.90 | Professional | 81 · Minimal assistant surgeon | $14.79 | $20.89 | $30.90 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $14.79 Median $20.89 Typical High $30.90 | Professional | 82 · Assistant surgeon, no resident | $14.79 | $20.89 | $30.90 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $14.79 Median $20.89 Typical High $30.90 | Professional | AS · PA/NP assist | $14.79 | $20.89 | $30.90 |
Where South Carolina sits
The same service costs 3.2 times more in Nebraska than in Mississippi. 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· 34th of 51
$138
NE $331MS $105
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.