How much rates vary
Facilitymedian $891 · 10th to 90th $251 to $1,259Professionalmedian $18 · 10th to 90th $16 to $24
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 $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier None (both parts) Typical Low $16.22 Median $16.22 Typical High $17.78 | Professional | None (both parts) | $16.22 | $16.22 | $17.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.76 Typical High $8.13 | Professional | 26 · Professional part | $7.76 | $7.76 | $8.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $8.32 Median $8.32 Typical High $9.55 | Professional | TC · Technical part | $8.32 | $8.32 | $9.55 |
BCBS South Carolina Setting Facility Modifier None Typical Low $398.11 Median $933.25 Typical High $1,258.93 | Facility | None | $398.11 | $933.25 | $1,258.93 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | TC · Technical part | $549.54 | $549.54 | $549.54 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None (both parts) | $17.78 | $17.78 | $17.78 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | 26 · Professional part | $7.76 | $7.76 | $7.76 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | TC · Technical part | $10.23 | $10.23 | $10.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None (both parts) | $17.78 | $17.78 | $17.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 26 · Professional part | $7.41 | $7.41 | $7.41 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | TC · Technical part | $10.23 | $10.23 | $10.23 |
Medcost Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Medcost Setting Facility Modifier None Typical Low $16.22 Median $21.88 Typical High $47.86 | Facility | None | $16.22 | $21.88 | $47.86 |
Medcost Setting Professional Modifier None (both parts) Typical Low $16.60 Median $22.91 Typical High $27.54 | Professional | None (both parts) | $16.60 | $22.91 | $27.54 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.00 Typical High $13.80 | Professional | 26 · Professional part | $7.76 | $10.00 | $13.80 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $8.91 Median $13.18 Typical High $15.14 | Professional | TC · Technical part | $8.91 | $13.18 | $15.14 |
United Setting Facility Modifier None Typical Low $158.49 Median $190.55 Typical High $251.19 | Facility | None | $158.49 | $190.55 | $251.19 |
United Setting Professional Modifier None (both parts) Typical Low $15.14 Median $19.50 Typical High $31.62 | Professional | None (both parts) | $15.14 | $19.50 | $31.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $8.32 Typical High $14.13 | Professional | 26 · Professional part | $6.92 | $8.32 | $14.13 |
United Setting Professional Modifier TC · Technical part Typical Low $8.13 Median $10.96 Typical High $16.98 | Professional | TC · Technical part | $8.13 | $10.96 | $16.98 |
7 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.13 Median $8.13 Typical High $8.91 | Professional | 52 · Reduced service | $8.13 | $8.13 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.24 Typical High $3.55 | Professional | 53 · Discontinued | $3.24 | $3.24 | $3.55 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $8.32 Median $12.02 Typical High $16.98 | Professional | 51 · Multiple procedures | $8.32 | $12.02 | $16.98 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $3.39 Median $4.79 Typical High $6.76 | Professional | 80 · Assistant surgeon | $3.39 | $4.79 | $6.76 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.34 Median $3.39 Typical High $4.79 | Professional | 81 · Minimal assistant surgeon | $2.34 | $3.39 | $4.79 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.34 Median $3.39 Typical High $4.79 | Professional | 82 · Assistant surgeon, no resident | $2.34 | $3.39 | $4.79 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.34 Median $3.39 Typical High $4.79 | Professional | AS · PA/NP assist | $2.34 | $3.39 | $4.79 |
Where South Carolina sits
The same service costs 2.3 times more in Wisconsin than in North Carolina. 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· 48th of 51
$17.78
WI $39.81NC $17.38
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.