How much rates vary
Facilitymedian $28 · 10th to 90th $23 to $692Professionalmedian $41 · 10th to 90th $23 to $110
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $23.44 Typical High $25.70 | Professional | None (both parts) | $23.44 | $23.44 | $25.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $8.51 Typical High $9.12 | Professional | 26 · Professional part | $8.51 | $8.51 | $9.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $14.79 Typical High $16.60 | Professional | TC · Technical part | $14.79 | $14.79 | $16.60 |
BCBS South Carolina Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $58.88 | Professional | None (both parts) | $40.74 | $40.74 | $58.88 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.48 Typical High $14.79 | Professional | 26 · Professional part | $9.12 | $11.48 | $14.79 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $31.62 Typical High $44.67 | Professional | TC · Technical part | $31.62 | $31.62 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $32.36 Typical High $64.57 | Professional | None (both parts) | $27.54 | $32.36 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.02 Typical High $20.89 | Professional | 26 · Professional part | $9.33 | $12.02 | $20.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $20.42 Typical High $37.15 | Professional | TC · Technical part | $17.78 | $20.42 | $37.15 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 26 · Professional part | $20.89 | $20.89 | $20.89 |
Medcost Setting Facility Modifier None Typical Low $23.44 Median $28.18 Typical High $31.62 | Facility | None | $23.44 | $28.18 | $31.62 |
Medcost Setting Professional Modifier None (both parts) Typical Low $32.36 Median $41.69 Typical High $147.91 | Professional | None (both parts) | $32.36 | $41.69 | $147.91 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $17.78 Typical High $22.91 | Professional | 26 · Professional part | $15.49 | $17.78 | $22.91 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $30.20 Typical High $134.90 | Professional | TC · Technical part | $27.54 | $30.20 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $45.71 Median $79.43 Typical High $186.21 | Professional | None (both parts) | $45.71 | $79.43 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.30 Typical High $21.38 | Professional | 26 · Professional part | $9.55 | $12.30 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $63.10 Typical High $165.96 | Professional | TC · Technical part | $35.48 | $63.10 | $165.96 |
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 $11.75 Median $11.75 Typical High $12.88 | Professional | 52 · Reduced service | $11.75 | $11.75 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $4.68 Typical High $5.25 | Professional | 53 · Discontinued | $4.68 | $4.68 | $5.25 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $18.62 Median $18.62 Typical High $19.95 | Professional | FX · Film X-ray | $18.62 | $18.62 | $19.95 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $19.95 Median $20.89 Typical High $74.13 | Professional | 51 · Multiple procedures | $19.95 | $20.89 | $74.13 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.13 Median $8.32 Typical High $29.51 | Professional | 80 · Assistant surgeon | $8.13 | $8.32 | $29.51 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.62 Median $5.89 Typical High $20.89 | Professional | 81 · Minimal assistant surgeon | $5.62 | $5.89 | $20.89 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.62 Median $5.89 Typical High $20.89 | Professional | 82 · Assistant surgeon, no resident | $5.62 | $5.89 | $20.89 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.62 Median $5.89 Typical High $20.89 | Professional | AS · PA/NP assist | $5.62 | $5.89 | $20.89 |
Where South Carolina sits
The same service costs 4.7 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· 31st of 51
$40.74
AK $110FL $23.44
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.