How much rates vary
Facilitymedian $245 · 10th to 90th $85 to $417Professionalmedian $98 · 10th to 90th $66 to $158
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 $67.61 Median $83.18 Typical High $123.03 | Facility | None | $67.61 | $83.18 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $123.03 | Professional | None (both parts) | $67.61 | $67.61 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $47.86 | Professional | 26 · Professional part | $26.30 | $26.30 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $77.62 | Professional | TC · Technical part | $40.74 | $40.74 | $77.62 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $48.98 Median $77.62 Typical High $131.83 | Professional | None (both parts) | $48.98 | $77.62 | $131.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.20 Typical High $54.95 | Professional | 26 · Professional part | $23.99 | $30.20 | $54.95 |
BCBS South Carolina Setting Facility Modifier None Typical Low $114.82 Median $245.47 Typical High $407.38 | Facility | None | $114.82 | $245.47 | $407.38 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | TC · Technical part | $107.15 | $107.15 | $107.15 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $77.62 Median $100.00 Typical High $144.54 | Professional | None (both parts) | $77.62 | $100.00 | $144.54 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $47.86 Typical High $72.44 | Professional | 26 · Professional part | $30.20 | $47.86 | $72.44 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $46.77 Typical High $69.18 | Professional | TC · Technical part | $25.70 | $46.77 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $309.03 Typical High $562.34 | Facility | None | $257.04 | $309.03 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $89.13 Typical High $158.49 | Professional | None (both parts) | $83.18 | $89.13 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.88 Typical High $58.88 | Professional | 26 · Professional part | $29.51 | $33.88 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $54.95 Typical High $102.33 | Professional | TC · Technical part | $51.29 | $54.95 | $102.33 |
Medcost Setting Facility Modifier None Typical Low $67.61 Median $102.33 Typical High $218.78 | Facility | None | $67.61 | $102.33 | $218.78 |
Medcost Setting Professional Modifier None (both parts) Typical Low $93.33 Median $120.23 Typical High $218.78 | Professional | None (both parts) | $93.33 | $120.23 | $218.78 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $54.95 Typical High $66.07 | Professional | 26 · Professional part | $45.71 | $54.95 | $66.07 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $81.28 Typical High $91.20 | Professional | TC · Technical part | $74.13 | $81.28 | $91.20 |
Molina Setting Professional Modifier None (both parts) Typical Low $50.12 Median $100.00 Typical High $165.96 | Professional | None (both parts) | $50.12 | $100.00 | $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 $72.44 Median $87.10 Typical High $151.36 | Professional | None (both parts) | $72.44 | $87.10 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.11 Typical High $58.88 | Professional | 26 · Professional part | $26.92 | $33.11 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $54.95 Typical High $93.33 | Professional | TC · Technical part | $45.71 | $54.95 | $93.33 |
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 $33.88 Median $33.88 Typical High $36.31 | Professional | 52 · Reduced service | $33.88 | $33.88 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $14.45 | Professional | 53 · Discontinued | $13.49 | $13.49 | $14.45 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $53.70 Median $53.70 Typical High $57.54 | Professional | FX · Film X-ray | $53.70 | $53.70 | $57.54 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $57.54 Median $69.18 Typical High $107.15 | Professional | 51 · Multiple procedures | $57.54 | $69.18 | $107.15 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $22.91 Median $27.54 Typical High $43.65 | Professional | 80 · Assistant surgeon | $22.91 | $27.54 | $43.65 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.22 Median $19.50 Typical High $30.20 | Professional | 81 · Minimal assistant surgeon | $16.22 | $19.50 | $30.20 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.22 Median $19.50 Typical High $30.20 | Professional | 82 · Assistant surgeon, no resident | $16.22 | $19.50 | $30.20 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $16.22 Median $19.50 Typical High $30.20 | Professional | AS · PA/NP assist | $16.22 | $19.50 | $30.20 |
Where South Carolina sits
The same service costs 3.6 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· 26th of 51
$100
AK $245TX $67.61
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.