How much rates vary
Facilitymedian $214 · 10th to 90th $89 to $407Professionalmedian $74 · 10th to 90th $39 to $123
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 $46.77 Median $58.88 Typical High $154.88 | Facility | None | $46.77 | $58.88 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $102.33 | Professional | None (both parts) | $46.77 | $46.77 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $36.31 | Professional | 26 · Professional part | $23.44 | $23.44 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $23.44 Typical High $69.18 | Professional | TC · Technical part | $23.44 | $23.44 | $69.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $63.10 | Professional | None (both parts) | $57.54 | $57.54 | $63.10 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.92 Typical High $50.12 | Professional | 26 · Professional part | $21.38 | $26.92 | $50.12 |
BCBS South Carolina Setting Facility Modifier None Typical Low $128.82 Median $234.42 Typical High $407.38 | Facility | None | $128.82 | $234.42 | $407.38 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | TC · Technical part | $89.13 | $89.13 | $89.13 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $57.54 Median $81.28 Typical High $114.82 | Professional | None (both parts) | $57.54 | $81.28 | $114.82 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $60.26 Typical High $75.86 | Professional | 26 · Professional part | $26.92 | $60.26 | $75.86 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $30.90 Typical High $43.65 | Professional | TC · Technical part | $20.89 | $30.90 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $281.84 Typical High $575.44 | Facility | None | $186.21 | $281.84 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $83.18 Typical High $141.25 | Professional | None (both parts) | $75.86 | $83.18 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.84 Typical High $48.98 | Professional | 26 · Professional part | $25.12 | $28.84 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $51.29 Typical High $83.18 | Professional | TC · Technical part | $43.65 | $51.29 | $83.18 |
Medcost Setting Facility Modifier None Typical Low $46.77 Median $100.00 Typical High $208.93 | Facility | None | $46.77 | $100.00 | $208.93 |
Medcost Setting Professional Modifier None (both parts) Typical Low $64.57 Median $114.82 Typical High $128.82 | Professional | None (both parts) | $64.57 | $114.82 | $128.82 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $45.71 Typical High $56.23 | Professional | 26 · Professional part | $38.90 | $45.71 | $56.23 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $79.43 Typical High $85.11 | Professional | TC · Technical part | $46.77 | $79.43 | $85.11 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $58.88 Typical High $112.20 | Professional | None (both parts) | $33.88 | $58.88 | $112.20 |
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 $64.57 Median $83.18 Typical High $134.90 | Professional | None (both parts) | $64.57 | $83.18 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $29.51 Typical High $51.29 | Professional | 26 · Professional part | $23.44 | $29.51 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $54.95 Typical High $89.13 | Professional | TC · Technical part | $40.74 | $54.95 | $89.13 |
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 $23.44 Median $23.44 Typical High $26.92 | Professional | 52 · Reduced service | $23.44 | $23.44 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $10.72 | Professional | 53 · Discontinued | $9.33 | $9.33 | $10.72 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $37.15 Median $37.15 Typical High $40.74 | Professional | FX · Film X-ray | $37.15 | $37.15 | $40.74 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $40.74 Median $57.54 Typical High $69.18 | Professional | 51 · Multiple procedures | $40.74 | $57.54 | $69.18 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $16.22 Median $22.91 Typical High $27.54 | Professional | 80 · Assistant surgeon | $16.22 | $22.91 | $27.54 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $11.22 Median $16.22 Typical High $19.50 | Professional | 81 · Minimal assistant surgeon | $11.22 | $16.22 | $19.50 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $11.22 Median $16.22 Typical High $19.50 | Professional | 82 · Assistant surgeon, no resident | $11.22 | $16.22 | $19.50 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $11.22 Median $16.22 Typical High $19.50 | Professional | AS · PA/NP assist | $11.22 | $16.22 | $19.50 |
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· 37th of 51
$75.86
AK $195TX $47.86
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.