How much rates vary
Facilitymedian $331 · 10th to 90th $178 to $631Professionalmedian $72 · 10th to 90th $39 to $166
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 $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $85.11 | Professional | None (both parts) | $54.95 | $54.95 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $35.48 | Professional | 26 · Professional part | $25.12 | $25.12 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $52.48 | Professional | TC · Technical part | $30.20 | $30.20 | $52.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None (both parts) | $66.07 | $66.07 | $66.07 |
BCBS South Carolina Setting Facility Modifier None Typical Low $213.80 Median $363.08 Typical High $630.96 | Facility | None | $213.80 | $363.08 | $630.96 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | TC · Technical part | $181.97 | $181.97 | $181.97 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $66.07 Median $93.33 Typical High $165.96 | Professional | None (both parts) | $66.07 | $93.33 | $165.96 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $50.12 Typical High $64.57 | Professional | 26 · Professional part | $28.84 | $50.12 | $64.57 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $42.66 Typical High $102.33 | Professional | TC · Technical part | $36.31 | $42.66 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $281.84 Typical High $575.44 | Facility | None | $229.09 | $281.84 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $74.13 Typical High $144.54 | Professional | None (both parts) | $67.61 | $74.13 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $32.36 Typical High $54.95 | Professional | 26 · Professional part | $25.70 | $32.36 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $42.66 Typical High $81.28 | Professional | TC · Technical part | $37.15 | $42.66 | $81.28 |
Medcost Setting Facility Modifier None Typical Low $54.95 Median $72.44 Typical High $181.97 | Facility | None | $54.95 | $72.44 | $181.97 |
Medcost Setting Professional Modifier None (both parts) Typical Low $75.86 Median $89.13 Typical High $181.97 | Professional | None (both parts) | $75.86 | $89.13 | $181.97 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $72.44 | Professional | 26 · Professional part | $41.69 | $48.98 | $72.44 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $64.57 Typical High $74.13 | Professional | TC · Technical part | $57.54 | $64.57 | $74.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $60.26 Typical High $165.96 | Professional | None (both parts) | $33.88 | $60.26 | $165.96 |
United Setting Facility Modifier None Typical Low $436.52 Median $537.03 Typical High $691.83 | Facility | None | $436.52 | $537.03 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $74.13 Typical High $125.89 | Professional | None (both parts) | $58.88 | $74.13 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $31.62 Typical High $53.70 | Professional | 26 · Professional part | $25.70 | $31.62 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $42.66 Typical High $70.79 | Professional | TC · Technical part | $31.62 | $42.66 | $70.79 |
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 $27.54 Median $27.54 Typical High $29.51 | Professional | 52 · Reduced service | $27.54 | $27.54 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $11.75 | Professional | 53 · Discontinued | $10.96 | $10.96 | $11.75 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $43.65 Median $43.65 Typical High $45.71 | Professional | FX · Film X-ray | $43.65 | $43.65 | $45.71 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $41.69 Median $48.98 Typical High $91.20 | Professional | 51 · Multiple procedures | $41.69 | $48.98 | $91.20 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $16.60 Median $19.95 Typical High $36.31 | Professional | 80 · Assistant surgeon | $16.60 | $19.95 | $36.31 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $11.75 Median $13.80 Typical High $25.12 | Professional | 81 · Minimal assistant surgeon | $11.75 | $13.80 | $25.12 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $11.75 Median $13.80 Typical High $25.12 | Professional | 82 · Assistant surgeon, no resident | $11.75 | $13.80 | $25.12 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $11.75 Median $13.80 Typical High $25.12 | Professional | AS · PA/NP assist | $11.75 | $13.80 | $25.12 |
Where South Carolina sits
The same service costs 3.8 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· 38th of 51
$75.86
AK $204TX $53.70
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.