How much rates vary
Facilitymedian $355 · 10th to 90th $178 to $631Professionalmedian $91 · 10th to 90th $39 to $174
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 $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $107.15 | Professional | None (both parts) | $74.13 | $74.13 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $54.95 | Professional | 26 · Professional part | $39.81 | $39.81 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.11 Typical High $56.23 | Professional | TC · Technical part | $33.11 | $33.11 | $56.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $154.88 | $154.88 | $154.88 |
BCBS South Carolina Setting Facility Modifier None Typical Low $208.93 Median $363.08 Typical High $630.96 | Facility | None | $208.93 | $363.08 | $630.96 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $70.79 Median $144.54 Typical High $190.55 | Professional | None (both parts) | $70.79 | $144.54 | $190.55 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $70.79 Typical High $93.33 | Professional | 26 · Professional part | $45.71 | $70.79 | $93.33 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $61.66 Typical High $102.33 | Professional | TC · Technical part | $38.02 | $61.66 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $691.83 | Facility | None | $676.08 | $676.08 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $95.50 Typical High $199.53 | Professional | None (both parts) | $89.13 | $95.50 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $51.29 Typical High $100.00 | Professional | 26 · Professional part | $44.67 | $51.29 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $44.67 Typical High $89.13 | Professional | TC · Technical part | $41.69 | $44.67 | $89.13 |
Medcost Setting Facility Modifier None Typical Low $74.13 Median $87.10 Typical High $239.88 | Facility | None | $74.13 | $87.10 | $239.88 |
Medcost Setting Professional Modifier None (both parts) Typical Low $102.33 Median $141.25 Typical High $316.23 | Professional | None (both parts) | $102.33 | $141.25 | $316.23 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $83.18 Typical High $114.82 | Professional | 26 · Professional part | $69.18 | $83.18 | $114.82 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $67.61 Typical High $85.11 | Professional | TC · Technical part | $61.66 | $67.61 | $85.11 |
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 Professional Modifier None (both parts) Typical Low $79.43 Median $97.72 Typical High $165.96 | Professional | None (both parts) | $79.43 | $97.72 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $50.12 Typical High $89.13 | Professional | 26 · Professional part | $40.74 | $50.12 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $45.71 Typical High $77.62 | Professional | TC · Technical part | $37.15 | $45.71 | $77.62 |
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 $36.31 Median $36.31 Typical High $38.90 | Professional | 52 · Reduced service | $36.31 | $36.31 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $15.49 | Professional | 53 · Discontinued | $14.79 | $14.79 | $15.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $58.88 Median $58.88 Typical High $63.10 | Professional | FX · Film X-ray | $58.88 | $58.88 | $63.10 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $63.10 Median $75.86 Typical High $158.49 | Professional | 51 · Multiple procedures | $63.10 | $75.86 | $158.49 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $25.12 Median $30.20 Typical High $63.10 | Professional | 80 · Assistant surgeon | $25.12 | $30.20 | $63.10 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $17.78 Median $20.89 Typical High $44.67 | Professional | 81 · Minimal assistant surgeon | $17.78 | $20.89 | $44.67 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $17.78 Median $20.89 Typical High $44.67 | Professional | 82 · Assistant surgeon, no resident | $17.78 | $20.89 | $44.67 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $17.78 Median $20.89 Typical High $44.67 | Professional | AS · PA/NP assist | $17.78 | $20.89 | $44.67 |
Where South Carolina sits
The same service costs 4.2 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· 42nd of 51
$93.33
AK $275TX $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.