How much rates vary
Facilitymedian $4,677 · 10th to 90th $794 to $12,589Professionalmedian $178 · 10th to 90th $78 to $631
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 $123.03 Median $123.03 Typical High $177.83 | Facility | None | $123.03 | $123.03 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $263.03 | Professional | None (both parts) | $123.03 | $123.03 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $69.18 Typical High $107.15 | Professional | 26 · Professional part | $56.23 | $69.18 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $60.26 Typical High $204.17 | Professional | TC · Technical part | $54.95 | $60.26 | $204.17 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $141.25 | $141.25 | $141.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $85.11 Typical High $144.54 | Professional | 26 · Professional part | $63.10 | $85.11 | $144.54 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,737.80 Median $4,677.35 Typical High $12,022.64 | Facility | None | $1,737.80 | $4,677.35 | $12,022.64 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | TC · Technical part | $1,949.84 | $1,949.84 | $1,949.84 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $141.25 Median $524.81 Typical High $758.58 | Professional | None (both parts) | $141.25 | $524.81 | $758.58 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $123.03 Typical High $165.96 | Professional | 26 · Professional part | $77.62 | $123.03 | $165.96 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $407.38 Typical High $588.84 | Professional | TC · Technical part | $63.10 | $407.38 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $8,317.64 Typical High $16,595.87 | Facility | None | $407.38 | $8,317.64 | $16,595.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $338.84 Typical High $645.65 | Professional | None (both parts) | $173.78 | $338.84 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $70.79 Typical High $141.25 | Professional | 26 · Professional part | $53.70 | $70.79 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $288.40 Typical High $562.34 | Professional | TC · Technical part | $81.28 | $288.40 | $562.34 |
Medcost Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Medcost Setting Facility Modifier None Typical Low $123.03 Median $407.38 Typical High $3,801.89 | Facility | None | $123.03 | $407.38 | $3,801.89 |
Medcost Setting Professional Modifier None (both parts) Typical Low $169.82 Median $478.63 Typical High $831.76 | Professional | None (both parts) | $169.82 | $478.63 | $831.76 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $95.50 Typical High $199.53 | Professional | 26 · Professional part | $81.28 | $95.50 | $199.53 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $251.19 Typical High $616.60 | Professional | TC · Technical part | $112.20 | $251.19 | $616.60 |
Molina Setting Professional Modifier None (both parts) Typical Low $70.79 Median $120.23 Typical High $288.40 | Professional | None (both parts) | $70.79 | $120.23 | $288.40 |
United Setting Facility Modifier None Typical Low $13,182.57 Median $16,218.10 Typical High $20,892.96 | Facility | None | $13,182.57 | $16,218.10 | $20,892.96 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $245.47 Typical High $616.60 | Professional | None (both parts) | $154.88 | $245.47 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $85.11 Typical High $154.88 | Professional | 26 · Professional part | $53.70 | $85.11 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $125.89 Typical High $524.81 | Professional | TC · Technical part | $70.79 | $125.89 | $524.81 |
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 $61.66 Median $61.66 Typical High $70.79 | Professional | 52 · Reduced service | $61.66 | $61.66 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $28.84 | Professional | 53 · Discontinued | $24.55 | $24.55 | $28.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $100.00 Typical High $107.15 | Professional | FX · Film X-ray | $100.00 | $100.00 | $107.15 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $107.15 Median $239.88 Typical High $416.87 | Professional | 51 · Multiple procedures | $107.15 | $239.88 | $416.87 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $42.66 Median $95.50 Typical High $165.96 | Professional | 80 · Assistant surgeon | $42.66 | $95.50 | $165.96 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $30.20 Median $67.61 Typical High $117.49 | Professional | 81 · Minimal assistant surgeon | $30.20 | $67.61 | $117.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $30.20 Median $67.61 Typical High $117.49 | Professional | 82 · Assistant surgeon, no resident | $30.20 | $67.61 | $117.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $30.20 Median $67.61 Typical High $117.49 | Professional | AS · PA/NP assist | $30.20 | $67.61 | $117.49 |
Where South Carolina sits
The same service costs 4.1 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· 34th of 51
$195
AK $468TX $115
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.