How much rates vary
Facilitymedian $4,786 · 10th to 90th $447 to $12,303Professionalmedian $178 · 10th to 90th $91 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 $134.90 Median $134.90 Typical High $194.98 | Facility | None | $134.90 | $134.90 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $281.84 | Professional | None (both parts) | $134.90 | $134.90 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $102.33 | Professional | 26 · Professional part | $64.57 | $77.62 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $223.87 | Professional | TC · Technical part | $57.54 | $57.54 | $223.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $134.90 | Professional | 26 · Professional part | $87.10 | $87.10 | $134.90 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,778.28 Median $4,897.79 Typical High $12,022.64 | Facility | None | $1,778.28 | $4,897.79 | $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 $154.88 Median $537.03 Typical High $758.58 | Professional | None (both parts) | $154.88 | $537.03 | $758.58 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $114.82 Typical High $177.83 | Professional | 26 · Professional part | $87.10 | $114.82 | $177.83 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $389.05 Typical High $616.60 | Professional | TC · Technical part | $67.61 | $389.05 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $8,317.64 Typical High $16,595.87 | Facility | None | $436.52 | $8,317.64 | $16,595.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $363.08 Typical High $660.69 | Professional | None (both parts) | $190.55 | $363.08 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $79.43 Typical High $158.49 | Professional | 26 · Professional part | $60.26 | $79.43 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $302.00 Typical High $562.34 | Professional | TC · Technical part | $81.28 | $302.00 | $562.34 |
Medcost Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Medcost Setting Facility Modifier None Typical Low $134.90 Median $436.52 Typical High $3,801.89 | Facility | None | $134.90 | $436.52 | $3,801.89 |
Medcost Setting Professional Modifier None (both parts) Typical Low $186.21 Median $512.86 Typical High $851.14 | Professional | None (both parts) | $186.21 | $512.86 | $851.14 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $109.65 Typical High $234.42 | Professional | 26 · Professional part | $95.50 | $109.65 | $234.42 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $281.84 Typical High $616.60 | Professional | TC · Technical part | $114.82 | $281.84 | $616.60 |
Molina Setting Professional Modifier None (both parts) Typical Low $74.13 Median $134.90 Typical High $269.15 | Professional | None (both parts) | $74.13 | $134.90 | $269.15 |
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 $165.96 Median $275.42 Typical High $676.08 | Professional | None (both parts) | $165.96 | $275.42 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $97.72 Typical High $173.78 | Professional | 26 · Professional part | $61.66 | $97.72 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $131.83 Typical High $524.81 | Professional | TC · Technical part | $72.44 | $131.83 | $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 $67.61 Median $67.61 Typical High $77.62 | Professional | 52 · Reduced service | $67.61 | $67.61 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $30.90 | Professional | 53 · Discontinued | $26.92 | $26.92 | $30.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $107.15 Typical High $117.49 | Professional | FX · Film X-ray | $107.15 | $107.15 | $117.49 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $114.82 Median $257.04 Typical High $426.58 | Professional | 51 · Multiple procedures | $114.82 | $257.04 | $426.58 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $46.77 Median $102.33 Typical High $169.82 | Professional | 80 · Assistant surgeon | $46.77 | $102.33 | $169.82 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $32.36 Median $70.79 Typical High $120.23 | Professional | 81 · Minimal assistant surgeon | $32.36 | $70.79 | $120.23 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $32.36 Median $70.79 Typical High $120.23 | Professional | 82 · Assistant surgeon, no resident | $32.36 | $70.79 | $120.23 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $32.36 Median $70.79 Typical High $120.23 | Professional | AS · PA/NP assist | $32.36 | $70.79 | $120.23 |
Where South Carolina sits
The same service costs 5.1 times more in Alaska than in Utah. 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· 40th of 51
$191
AK $513UT $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.