How much rates vary
Facilitymedian $245 · 10th to 90th $123 to $417Professionalmedian $123 · 10th to 90th $91 to $214
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 $97.72 Median $97.72 Typical High $154.88 | Facility | None | $97.72 | $97.72 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $125.89 | Professional | None (both parts) | $97.72 | $97.72 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $37.15 | Professional | 26 · Professional part | $30.20 | $30.20 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $69.18 Typical High $85.11 | Professional | TC · Technical part | $67.61 | $69.18 | $85.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $36.31 Typical High $61.66 | Professional | 26 · Professional part | $26.30 | $36.31 | $61.66 |
BCBS South Carolina Setting Facility Modifier None Typical Low $128.82 Median $229.09 Typical High $407.38 | Facility | None | $128.82 | $229.09 | $407.38 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | TC · Technical part | $109.65 | $109.65 | $109.65 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $100.00 Median $114.82 Typical High $131.83 | Professional | None (both parts) | $100.00 | $114.82 | $131.83 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $40.74 Typical High $57.54 | Professional | 26 · Professional part | $33.11 | $40.74 | $57.54 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $81.28 Typical High $87.10 | Professional | TC · Technical part | $60.26 | $81.28 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $389.05 Typical High $616.60 | Facility | None | $234.42 | $389.05 | $616.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $134.90 Typical High $257.04 | Professional | None (both parts) | $112.20 | $134.90 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.90 Typical High $66.07 | Professional | 26 · Professional part | $33.11 | $38.90 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $91.20 Typical High $181.97 | Professional | TC · Technical part | $70.79 | $91.20 | $181.97 |
Medcost Setting Facility Modifier None Typical Low $89.13 Median $131.83 Typical High $331.13 | Facility | None | $89.13 | $131.83 | $331.13 |
Medcost Setting Professional Modifier None (both parts) Typical Low $128.82 Median $138.04 Typical High $158.49 | Professional | None (both parts) | $128.82 | $138.04 | $158.49 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $69.18 | Professional | 26 · Professional part | $52.48 | $61.66 | $69.18 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $89.13 Typical High $138.04 | Professional | TC · Technical part | $85.11 | $89.13 | $138.04 |
Molina Setting Professional Modifier None (both parts) Typical Low $51.29 Median $138.04 Typical High $223.87 | Professional | None (both parts) | $51.29 | $138.04 | $223.87 |
United Setting Facility Modifier None Typical Low $363.08 Median $446.68 Typical High $575.44 | Facility | None | $363.08 | $446.68 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $138.04 Typical High $245.47 | Professional | None (both parts) | $109.65 | $138.04 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.02 Typical High $67.61 | Professional | 26 · Professional part | $30.90 | $38.02 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $100.00 Typical High $173.78 | Professional | TC · Technical part | $77.62 | $100.00 | $173.78 |
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 $48.98 Median $48.98 Typical High $50.12 | Professional | 52 · Reduced service | $48.98 | $48.98 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | FX · Film X-ray | $79.43 | $79.43 | $79.43 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $64.57 Median $75.86 Typical High $89.13 | Professional | 51 · Multiple procedures | $64.57 | $75.86 | $89.13 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $25.70 Median $30.20 Typical High $35.48 | Professional | 80 · Assistant surgeon | $25.70 | $30.20 | $35.48 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $18.20 Median $21.38 Typical High $24.55 | Professional | 81 · Minimal assistant surgeon | $18.20 | $21.38 | $24.55 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $18.20 Median $21.38 Typical High $24.55 | Professional | 82 · Assistant surgeon, no resident | $18.20 | $21.38 | $24.55 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $18.20 Median $21.38 Typical High $24.55 | Professional | AS · PA/NP assist | $18.20 | $21.38 | $24.55 |
Where South Carolina sits
The same service costs 3.7 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
$126
AK $363TX $97.72
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.