How much rates vary
Facilitymedian $102 · 10th to 90th $83 to $776Professionalmedian $166 · 10th to 90th $45 to $234
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 $83.18 Median $83.18 Typical High $102.33 | Facility | None | $83.18 | $83.18 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $144.54 | Professional | None (both parts) | $83.18 | $83.18 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $43.65 | Professional | 26 · Professional part | $23.44 | $23.44 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $104.71 | Professional | TC · Technical part | $58.88 | $58.88 | $104.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 26 · Professional part | $29.51 | $29.51 | $29.51 |
BCBS South Carolina Setting Facility Modifier None Typical Low $223.87 Median $416.87 Typical High $776.25 | Facility | None | $223.87 | $416.87 | $776.25 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $169.82 Median $186.21 Typical High $199.53 | Professional | None (both parts) | $169.82 | $186.21 | $199.53 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $60.26 Typical High $75.86 | Professional | 26 · Professional part | $26.92 | $60.26 | $75.86 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $128.82 Typical High $158.49 | Professional | TC · Technical part | $95.50 | $128.82 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $776.25 | Facility | None | $354.81 | $354.81 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $223.87 | Professional | None (both parts) | $154.88 | $154.88 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $63.10 | Professional | 26 · Professional part | $41.69 | $41.69 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $162.18 | Professional | TC · Technical part | $112.20 | $112.20 | $162.18 |
Medcost Setting Professional Modifier None Typical Low $239.88 Median $257.04 Typical High $263.03 | Professional | None | $239.88 | $257.04 | $263.03 |
Medcost Setting Facility Modifier None Typical Low $83.18 Median $97.72 Typical High $154.88 | Facility | None | $83.18 | $97.72 | $154.88 |
Medcost Setting Professional Modifier None (both parts) Typical Low $112.20 Median $234.42 Typical High $263.03 | Professional | None (both parts) | $112.20 | $234.42 | $263.03 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $66.07 Typical High $75.86 | Professional | 26 · Professional part | $46.77 | $66.07 | $75.86 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $165.96 Typical High $194.98 | Professional | TC · Technical part | $117.49 | $165.96 | $194.98 |
Molina Setting Professional Modifier None (both parts) Typical Low $24.55 Median $42.66 Typical High $69.18 | Professional | None (both parts) | $24.55 | $42.66 | $69.18 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $177.83 Typical High $269.15 | Professional | None (both parts) | $141.25 | $177.83 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $44.67 Typical High $70.79 | Professional | 26 · Professional part | $35.48 | $44.67 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $131.83 Typical High $194.98 | Professional | TC · Technical part | $104.71 | $131.83 | $194.98 |
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 $40.74 Median $40.74 Typical High $54.95 | Professional | 52 · Reduced service | $40.74 | $40.74 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $21.88 | Professional | 53 · Discontinued | $16.60 | $16.60 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $66.07 Typical High $74.13 | Professional | FX · Film X-ray | $66.07 | $66.07 | $74.13 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $70.79 Median $114.82 Typical High $131.83 | Professional | 51 · Multiple procedures | $70.79 | $114.82 | $131.83 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $28.18 Median $46.77 Typical High $52.48 | Professional | 80 · Assistant surgeon | $28.18 | $46.77 | $52.48 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $19.95 Median $32.36 Typical High $36.31 | Professional | 81 · Minimal assistant surgeon | $19.95 | $32.36 | $36.31 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $19.95 Median $32.36 Typical High $36.31 | Professional | 82 · Assistant surgeon, no resident | $19.95 | $32.36 | $36.31 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $19.95 Median $32.36 Typical High $36.31 | Professional | AS · PA/NP assist | $19.95 | $32.36 | $36.31 |
Where South Carolina sits
The same service costs 4.2 times more in Nebraska 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· 36th of 51
$166
NE $380FL $91.20
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.