How much rates vary
Facilitymedian $186 · 10th to 90th $83 to $309Professionalmedian $50 · 10th to 90th $36 to $74
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 $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $58.88 | Professional | None (both parts) | $36.31 | $36.31 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $15.14 | Professional | 26 · Professional part | $10.00 | $10.00 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $26.30 Typical High $41.69 | Professional | TC · Technical part | $26.30 | $26.30 | $41.69 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $20.42 Typical High $20.42 | Professional | 26 · Professional part | $17.38 | $20.42 | $20.42 |
BCBS South Carolina Setting Facility Modifier None Typical Low $89.13 Median $169.82 Typical High $295.12 | Facility | None | $89.13 | $169.82 | $295.12 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | TC · Technical part | $75.86 | $75.86 | $75.86 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $41.69 Median $56.23 Typical High $79.43 | Professional | None (both parts) | $41.69 | $56.23 | $79.43 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $16.98 Typical High $21.88 | Professional | 26 · Professional part | $10.96 | $16.98 | $21.88 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $38.90 Typical High $51.29 | Professional | TC · Technical part | $30.20 | $38.90 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $281.84 Typical High $562.34 | Facility | None | $199.53 | $281.84 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $46.77 Typical High $85.11 | Professional | None (both parts) | $41.69 | $46.77 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.59 Typical High $21.38 | Professional | 26 · Professional part | $9.77 | $12.59 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $33.88 Typical High $64.57 | Professional | TC · Technical part | $30.90 | $33.88 | $64.57 |
Medcost Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
Medcost Setting Facility Modifier None Typical Low $36.31 Median $50.12 Typical High $162.18 | Facility | None | $36.31 | $50.12 | $162.18 |
Medcost Setting Professional Modifier None (both parts) Typical Low $50.12 Median $72.44 Typical High $81.28 | Professional | None (both parts) | $50.12 | $72.44 | $81.28 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $19.05 Typical High $25.70 | Professional | 26 · Professional part | $15.85 | $19.05 | $25.70 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $52.48 Typical High $57.54 | Professional | TC · Technical part | $42.66 | $52.48 | $57.54 |
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 $436.52 Median $537.03 Typical High $691.83 | Facility | None | $436.52 | $537.03 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $50.12 Typical High $85.11 | Professional | None (both parts) | $38.90 | $50.12 | $85.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.88 Typical High $23.99 | Professional | 26 · Professional part | $10.23 | $12.88 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $34.67 Typical High $60.26 | Professional | TC · Technical part | $28.18 | $34.67 | $60.26 |
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 $18.20 Median $18.20 Typical High $19.50 | Professional | 52 · Reduced service | $18.20 | $18.20 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $7.76 | Professional | 53 · Discontinued | $7.24 | $7.24 | $7.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.84 Median $28.84 Typical High $30.90 | Professional | FX · Film X-ray | $28.84 | $28.84 | $30.90 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $28.84 Median $36.31 Typical High $40.74 | Professional | 51 · Multiple procedures | $28.84 | $36.31 | $40.74 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $11.75 Median $14.45 Typical High $16.22 | Professional | 80 · Assistant surgeon | $11.75 | $14.45 | $16.22 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.13 Median $10.00 Typical High $11.48 | Professional | 81 · Minimal assistant surgeon | $8.13 | $10.00 | $11.48 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.13 Median $10.00 Typical High $11.48 | Professional | 82 · Assistant surgeon, no resident | $8.13 | $10.00 | $11.48 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $8.13 Median $10.00 Typical High $11.48 | Professional | AS · PA/NP assist | $8.13 | $10.00 | $11.48 |
Where South Carolina sits
The same service costs 3.9 times more in Alaska than in Utah. 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· 28th of 51
$52.48
AK $129UT $33.11
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.