How much rates vary
Facilitymedian $851 · 10th to 90th $380 to $1,738Professionalmedian $148 · 10th to 90th $93 to $224
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 $104.71 Median $104.71 Typical High $147.91 | Professional | None (both parts) | $104.71 | $104.71 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.70 Typical High $31.62 | Professional | 26 · Professional part | $25.12 | $25.70 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $117.49 | Professional | TC · Technical part | $79.43 | $79.43 | $117.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
BCBS South Carolina Setting Facility Modifier None Typical Low $457.09 Median $851.14 Typical High $1,698.24 | Facility | None | $457.09 | $851.14 | $1,698.24 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | TC · Technical part | $302.00 | $302.00 | $302.00 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $109.65 Median $154.88 Typical High $204.17 | Professional | None (both parts) | $109.65 | $154.88 | $204.17 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $40.74 Typical High $58.88 | Professional | 26 · Professional part | $30.90 | $40.74 | $58.88 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $104.71 Typical High $141.25 | Professional | TC · Technical part | $79.43 | $104.71 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $954.99 Typical High $1,905.46 | Facility | None | $467.74 | $954.99 | $1,905.46 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $134.90 Typical High $257.04 | Professional | None (both parts) | $112.20 | $134.90 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $31.62 Typical High $56.23 | Professional | 26 · Professional part | $25.12 | $31.62 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $100.00 Typical High $204.17 | Professional | TC · Technical part | $87.10 | $100.00 | $204.17 |
Medcost Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Medcost Setting Facility Modifier None Typical Low $104.71 Median $147.91 Typical High $512.86 | Facility | None | $104.71 | $147.91 | $512.86 |
Medcost Setting Professional Modifier None (both parts) Typical Low $144.54 Median $169.82 Typical High $223.87 | Professional | None (both parts) | $144.54 | $169.82 | $223.87 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $45.71 Typical High $72.44 | Professional | 26 · Professional part | $39.81 | $45.71 | $72.44 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $147.91 Typical High $181.97 | Professional | TC · Technical part | $123.03 | $147.91 | $181.97 |
Molina Setting Professional Modifier None (both parts) Typical Low $54.95 Median $144.54 Typical High $229.09 | Professional | None (both parts) | $54.95 | $144.54 | $229.09 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $1,778.28 Typical High $2,344.23 | Facility | None | $1,479.11 | $1,778.28 | $2,344.23 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $141.25 Typical High $251.19 | Professional | None (both parts) | $104.71 | $141.25 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $32.36 Typical High $60.26 | Professional | 26 · Professional part | $25.70 | $32.36 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $109.65 Typical High $194.98 | Professional | TC · Technical part | $79.43 | $109.65 | $194.98 |
9 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 $52.48 Median $52.48 Typical High $64.57 | Professional | 52 · Reduced service | $52.48 | $52.48 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $26.30 | Professional | 53 · Discontinued | $20.89 | $20.89 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $83.18 Typical High $104.71 | Professional | FX · Film X-ray | $83.18 | $83.18 | $104.71 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $223.87 Median $295.12 Typical High $371.54 | Professional | 50 · Both sides | $223.87 | $295.12 | $371.54 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $74.13 Median $100.00 Typical High $123.03 | Professional | 51 · Multiple procedures | $74.13 | $100.00 | $123.03 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $29.51 Median $39.81 Typical High $48.98 | Professional | 80 · Assistant surgeon | $29.51 | $39.81 | $48.98 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $20.89 Median $27.54 Typical High $34.67 | Professional | 81 · Minimal assistant surgeon | $20.89 | $27.54 | $34.67 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $20.89 Median $27.54 Typical High $34.67 | Professional | 82 · Assistant surgeon, no resident | $20.89 | $27.54 | $34.67 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $20.89 Median $27.54 Typical High $34.67 | Professional | AS · PA/NP assist | $20.89 | $27.54 | $34.67 |
Where South Carolina sits
The same service costs 3.5 times more in Alaska than in Texas. 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· 25th of 51
$155
AK $355TX $100
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.