How much rates vary
Facilitymedian $123 · 10th to 90th $107 to $724Professionalmedian $132 · 10th to 90th $93 to $200
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 $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $120.23 | Professional | None (both parts) | $107.15 | $107.15 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $33.11 | Professional | 26 · Professional part | $30.90 | $30.90 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $87.10 | Professional | TC · Technical part | $77.62 | $77.62 | $87.10 |
BCBS South Carolina Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $114.82 Median $144.54 Typical High $169.82 | Professional | None (both parts) | $114.82 | $144.54 | $169.82 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $42.66 Typical High $53.70 | Professional | 26 · Professional part | $33.88 | $42.66 | $53.70 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $100.00 Typical High $100.00 | Professional | TC · Technical part | $81.28 | $100.00 | $100.00 |
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 $128.82 Median $138.04 Typical High $208.93 | Professional | None (both parts) | $128.82 | $138.04 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.90 Typical High $57.54 | Professional | 26 · Professional part | $34.67 | $38.90 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $97.72 Typical High $151.36 | Professional | TC · Technical part | $95.50 | $97.72 | $151.36 |
Medcost Setting Professional Modifier None Typical Low $199.53 Median $213.80 Typical High $223.87 | Professional | None | $199.53 | $213.80 | $223.87 |
Medcost Setting Facility Modifier None Typical Low $107.15 Median $123.03 Typical High $251.19 | Facility | None | $107.15 | $123.03 | $251.19 |
Medcost Setting Professional Modifier None (both parts) Typical Low $147.91 Median $194.98 Typical High $218.78 | Professional | None (both parts) | $147.91 | $194.98 | $218.78 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $61.66 Typical High $66.07 | Professional | 26 · Professional part | $50.12 | $61.66 | $66.07 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $154.88 Typical High $162.18 | Professional | TC · Technical part | $128.82 | $154.88 | $162.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $41.69 Typical High $66.07 | Professional | None (both parts) | $33.11 | $41.69 | $66.07 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $131.83 Typical High $218.78 | Professional | None (both parts) | $114.82 | $131.83 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.02 Typical High $61.66 | Professional | 26 · Professional part | $31.62 | $38.02 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $95.50 Typical High $154.88 | Professional | TC · Technical part | $81.28 | $95.50 | $154.88 |
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 $53.70 Median $53.70 Typical High $60.26 | Professional | 52 · Reduced service | $53.70 | $53.70 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $23.99 | Professional | 53 · Discontinued | $21.88 | $21.88 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $87.10 Typical High $93.33 | Professional | FX · Film X-ray | $87.10 | $87.10 | $93.33 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $81.28 Median $97.72 Typical High $114.82 | Professional | 51 · Multiple procedures | $81.28 | $97.72 | $114.82 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $33.11 Median $38.90 Typical High $45.71 | Professional | 80 · Assistant surgeon | $33.11 | $38.90 | $45.71 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $22.91 Median $27.54 Typical High $32.36 | Professional | 81 · Minimal assistant surgeon | $22.91 | $27.54 | $32.36 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $22.91 Median $27.54 Typical High $32.36 | Professional | 82 · Assistant surgeon, no resident | $22.91 | $27.54 | $32.36 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $22.91 Median $27.54 Typical High $32.36 | Professional | AS · PA/NP assist | $22.91 | $27.54 | $32.36 |
Where South Carolina sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 41st of 51
$132
AK $389DC $87.10
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.