How much rates vary
Facilitymedian $72 · 10th to 90th $22 to $110Professionalmedian $13 · 10th to 90th $9 to $20
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 $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $9.33 Median $9.33 Typical High $15.85 | Professional | None (both parts) | $9.33 | $9.33 | $15.85 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $6.46 Typical High $9.77 | Professional | 26 · Professional part | $6.46 | $6.46 | $9.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2.88 Median $2.88 Typical High $5.62 | Professional | TC · Technical part | $2.88 | $2.88 | $5.62 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $8.91 Median $11.22 Typical High $20.42 | Professional | None (both parts) | $8.91 | $11.22 | $20.42 |
BCBS South Carolina Setting Facility Modifier None Typical Low $30.90 Median $74.13 Typical High $102.33 | Facility | None | $30.90 | $74.13 | $102.33 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | TC · Technical part | $44.67 | $44.67 | $44.67 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $11.22 Median $14.13 Typical High $16.60 | Professional | None (both parts) | $11.22 | $14.13 | $16.60 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $11.48 Typical High $13.18 | Professional | 26 · Professional part | $7.41 | $11.48 | $13.18 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $2.14 Median $2.63 Typical High $3.80 | Professional | TC · Technical part | $2.14 | $2.63 | $3.80 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $64.57 Typical High $131.83 | Facility | None | $22.39 | $64.57 | $131.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $11.22 Median $12.59 Typical High $25.70 | Professional | None (both parts) | $11.22 | $12.59 | $25.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.12 Typical High $16.98 | Professional | 26 · Professional part | $8.32 | $9.12 | $16.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $2.57 Median $3.39 Typical High $8.32 | Professional | TC · Technical part | $2.57 | $3.39 | $8.32 |
Medcost Setting Facility Modifier None Typical Low $9.33 Median $11.22 Typical High $30.90 | Facility | None | $9.33 | $11.22 | $30.90 |
Medcost Setting Professional Modifier None (both parts) Typical Low $12.88 Median $19.05 Typical High $21.38 | Professional | None (both parts) | $12.88 | $19.05 | $21.38 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $14.45 Typical High $15.85 | Professional | 26 · Professional part | $13.18 | $14.45 | $15.85 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $4.27 Median $5.13 Typical High $6.46 | Professional | TC · Technical part | $4.27 | $5.13 | $6.46 |
United Setting Facility Modifier None Typical Low $120.23 Median $147.91 Typical High $190.55 | Facility | None | $120.23 | $147.91 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $10.47 Median $13.18 Typical High $21.38 | Professional | None (both parts) | $10.47 | $13.18 | $21.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $9.12 Typical High $15.49 | Professional | 26 · Professional part | $7.24 | $9.12 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $2.95 Median $3.98 Typical High $6.61 | Professional | TC · Technical part | $2.95 | $3.98 | $6.61 |
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 $4.68 Median $4.68 Typical High $5.01 | Professional | 52 · Reduced service | $4.68 | $4.68 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $1.86 Typical High $2.00 | Professional | 53 · Discontinued | $1.86 | $1.86 | $2.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $7.59 Median $7.59 Typical High $7.94 | Professional | FX · Film X-ray | $7.59 | $7.59 | $7.94 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $8.13 Median $9.77 Typical High $10.72 | Professional | 51 · Multiple procedures | $8.13 | $9.77 | $10.72 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $3.24 Median $3.80 Typical High $4.27 | Professional | 80 · Assistant surgeon | $3.24 | $3.80 | $4.27 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.29 Median $2.63 Typical High $3.02 | Professional | 81 · Minimal assistant surgeon | $2.29 | $2.63 | $3.02 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.29 Median $2.63 Typical High $3.02 | Professional | 82 · Assistant surgeon, no resident | $2.29 | $2.63 | $3.02 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.29 Median $2.63 Typical High $3.02 | Professional | AS · PA/NP assist | $2.29 | $2.63 | $3.02 |
Where South Carolina sits
The same service costs 3.9 times more in Alaska 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· 32nd of 51
$13.49
AK $35.48FL $9.12
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.