How much rates vary
Facilitymedian $107 · 10th to 90th $79 to $724Professionalmedian $102 · 10th to 90th $66 to $158
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 $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $97.72 | Professional | None (both parts) | $79.43 | $79.43 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $35.48 | Professional | 26 · Professional part | $31.62 | $31.62 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $61.66 | Professional | TC · Technical part | $47.86 | $47.86 | $61.66 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $66.07 | $66.07 | $66.07 |
BCBS South Carolina Setting Facility Modifier None Typical Low $371.54 Median $478.63 Typical High $758.58 | Facility | None | $371.54 | $478.63 | $758.58 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $89.13 Median $114.82 Typical High $138.04 | Professional | None (both parts) | $89.13 | $114.82 | $138.04 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $51.29 Typical High $79.43 | Professional | 26 · Professional part | $36.31 | $51.29 | $79.43 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $52.48 Typical High $85.11 | Professional | TC · Technical part | $36.31 | $52.48 | $85.11 |
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 $102.33 Median $102.33 Typical High $158.49 | Professional | None (both parts) | $102.33 | $102.33 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $36.31 Typical High $56.23 | Professional | 26 · Professional part | $32.36 | $36.31 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $70.79 Typical High $100.00 | Professional | TC · Technical part | $66.07 | $70.79 | $100.00 |
Medcost Setting Professional Modifier None Typical Low $162.18 Median $173.78 Typical High $223.87 | Professional | None | $162.18 | $173.78 | $223.87 |
Medcost Setting Facility Modifier None Typical Low $79.43 Median $102.33 Typical High $257.04 | Facility | None | $79.43 | $102.33 | $257.04 |
Medcost Setting Professional Modifier None (both parts) Typical Low $109.65 Median $151.36 Typical High $177.83 | Professional | None (both parts) | $109.65 | $151.36 | $177.83 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $61.66 Typical High $64.57 | Professional | 26 · Professional part | $43.65 | $61.66 | $64.57 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $97.72 Typical High $120.23 | Professional | TC · Technical part | $95.50 | $97.72 | $120.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $42.66 Median $95.50 Typical High $158.49 | Professional | None (both parts) | $42.66 | $95.50 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $100.00 Typical High $162.18 | Professional | None (both parts) | $81.28 | $100.00 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $34.67 Typical High $57.54 | Professional | 26 · Professional part | $28.84 | $34.67 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $64.57 Typical High $107.15 | Professional | TC · Technical part | $52.48 | $64.57 | $107.15 |
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 $39.81 Median $39.81 Typical High $44.67 | Professional | 52 · Reduced service | $39.81 | $39.81 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $17.78 | Professional | 53 · Discontinued | $15.85 | $15.85 | $17.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $63.10 Median $63.10 Typical High $69.18 | Professional | FX · Film X-ray | $63.10 | $63.10 | $69.18 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $58.88 Median $75.86 Typical High $89.13 | Professional | 51 · Multiple procedures | $58.88 | $75.86 | $89.13 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $23.44 Median $30.20 Typical High $35.48 | Professional | 80 · Assistant surgeon | $23.44 | $30.20 | $35.48 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.60 Median $20.89 Typical High $24.55 | Professional | 81 · Minimal assistant surgeon | $16.60 | $20.89 | $24.55 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.60 Median $20.89 Typical High $24.55 | Professional | 82 · Assistant surgeon, no resident | $16.60 | $20.89 | $24.55 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $16.60 Median $20.89 Typical High $24.55 | Professional | AS · PA/NP assist | $16.60 | $20.89 | $24.55 |
Where South Carolina sits
The same service costs 4.5 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· 36th of 51
$102
AK $295TX $66.07
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.