How much rates vary
Facilitymedian $174 · 10th to 90th $51 to $302Professionalmedian $39 · 10th to 90th $31 to $65
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 $30.90 Median $30.90 Typical High $46.77 | Facility | None | $30.90 | $30.90 | $46.77 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $46.77 | Professional | None (both parts) | $30.90 | $30.90 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.08 Typical High $11.22 | Professional | 26 · Professional part | $7.08 | $7.08 | $11.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $23.99 Typical High $37.15 | Professional | TC · Technical part | $23.44 | $23.99 | $37.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.99 Median $29.51 Typical High $29.51 | Professional | None (both parts) | $23.99 | $29.51 | $29.51 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $8.13 Typical High $14.79 | Professional | 26 · Professional part | $6.46 | $8.13 | $14.79 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $37.15 Typical High $41.69 | Professional | TC · Technical part | $37.15 | $37.15 | $41.69 |
BCBS South Carolina Setting Facility Modifier None Typical Low $89.13 Median $173.78 Typical High $295.12 | Facility | None | $89.13 | $173.78 | $295.12 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | TC · Technical part | $67.61 | $67.61 | $67.61 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $34.67 Median $38.02 Typical High $64.57 | Professional | None (both parts) | $34.67 | $38.02 | $64.57 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $19.05 Typical High $26.30 | Professional | 26 · Professional part | $8.13 | $19.05 | $26.30 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $26.92 Typical High $45.71 | Professional | TC · Technical part | $14.45 | $26.92 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $234.42 Typical High $467.74 | Facility | None | $162.18 | $234.42 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $34.67 Typical High $64.57 | Professional | None (both parts) | $28.18 | $34.67 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.00 Typical High $16.98 | Professional | 26 · Professional part | $7.94 | $10.00 | $16.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $24.55 Typical High $48.98 | Professional | TC · Technical part | $19.95 | $24.55 | $48.98 |
Medcost Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Medcost Setting Facility Modifier None Typical Low $26.30 Median $41.69 Typical High $162.18 | Facility | None | $26.30 | $41.69 | $162.18 |
Medcost Setting Professional Modifier None (both parts) Typical Low $42.66 Median $44.67 Typical High $60.26 | Professional | None (both parts) | $42.66 | $44.67 | $60.26 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $15.14 Typical High $20.42 | Professional | 26 · Professional part | $12.02 | $15.14 | $20.42 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $32.36 Typical High $51.29 | Professional | TC · Technical part | $30.20 | $32.36 | $51.29 |
Molina Setting Professional Modifier None (both parts) Typical Low $32.36 Median $43.65 Typical High $61.66 | Professional | None (both parts) | $32.36 | $43.65 | $61.66 |
United Setting Facility Modifier None Typical Low $363.08 Median $446.68 Typical High $575.44 | Facility | None | $363.08 | $446.68 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $27.54 Median $37.15 Typical High $69.18 | Professional | None (both parts) | $27.54 | $37.15 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.77 Typical High $16.98 | Professional | 26 · Professional part | $7.76 | $9.77 | $16.98 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $27.54 Typical High $53.70 | Professional | TC · Technical part | $19.50 | $27.54 | $53.70 |
8 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 $15.49 Median $15.49 Typical High $16.60 | Professional | 52 · Reduced service | $15.49 | $15.49 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.17 Typical High $6.61 | Professional | 53 · Discontinued | $6.17 | $6.17 | $6.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.12 Median $25.12 Typical High $26.92 | Professional | FX · Film X-ray | $25.12 | $25.12 | $26.92 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $21.38 Median $23.99 Typical High $33.11 | Professional | 51 · Multiple procedures | $21.38 | $23.99 | $33.11 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.51 Median $9.12 Typical High $13.49 | Professional | 80 · Assistant surgeon | $8.51 | $9.12 | $13.49 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.89 Median $6.46 Typical High $9.33 | Professional | 81 · Minimal assistant surgeon | $5.89 | $6.46 | $9.33 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.89 Median $6.46 Typical High $9.33 | Professional | 82 · Assistant surgeon, no resident | $5.89 | $6.46 | $9.33 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.89 Median $6.46 Typical High $9.33 | Professional | AS · PA/NP assist | $5.89 | $6.46 | $9.33 |
Where South Carolina sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 27th of 51
$41.69
AK $112FL $28.84
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.