How much rates vary
Facilitymedian $40 · 10th to 90th $32 to $129Professionalmedian $37 · 10th to 90th $31 to $60
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $32.36 Median $39.81 Typical High $60.26 | Facility | None | $32.36 | $39.81 | $60.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $54.95 | Professional | None (both parts) | $32.36 | $32.36 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $11.75 Typical High $20.89 | Professional | 26 · Professional part | $11.75 | $11.75 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $20.42 Typical High $33.88 | Professional | TC · Technical part | $20.42 | $20.42 | $33.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $38.02 Median $38.02 Typical High $69.18 | Professional | None (both parts) | $38.02 | $38.02 | $69.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $13.18 Typical High $24.55 | Professional | 26 · Professional part | $11.22 | $13.18 | $24.55 |
BCBS South Carolina Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $204.17 | Facility | None | $134.90 | $134.90 | $204.17 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $36.31 Median $37.15 Typical High $48.98 | Professional | None (both parts) | $36.31 | $37.15 | $48.98 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $19.05 Typical High $25.12 | Professional | 26 · Professional part | $13.18 | $19.05 | $25.12 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $17.78 Typical High $26.92 | Professional | TC · Technical part | $16.98 | $17.78 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $33.88 Typical High $64.57 | Professional | None (both parts) | $30.90 | $33.88 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $15.14 Typical High $25.70 | Professional | 26 · Professional part | $13.80 | $15.14 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $18.62 Typical High $38.90 | Professional | TC · Technical part | $16.98 | $18.62 | $38.90 |
Medcost Setting Facility Modifier None Typical Low $28.84 Median $35.48 Typical High $102.33 | Facility | None | $28.84 | $35.48 | $102.33 |
Medcost Setting Professional Modifier None (both parts) Typical Low $44.67 Median $50.12 Typical High $64.57 | Professional | None (both parts) | $44.67 | $50.12 | $64.57 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.99 Typical High $25.70 | Professional | 26 · Professional part | $21.88 | $23.99 | $25.70 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $26.30 Typical High $40.74 | Professional | TC · Technical part | $24.55 | $26.30 | $40.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.90 Median $40.74 Typical High $60.26 | Professional | None (both parts) | $30.90 | $40.74 | $60.26 |
United Setting Professional Modifier None (both parts) Typical Low $28.84 Median $37.15 Typical High $61.66 | Professional | None (both parts) | $28.84 | $37.15 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $15.85 Typical High $26.30 | Professional | 26 · Professional part | $12.30 | $15.85 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $20.89 Typical High $37.15 | Professional | TC · Technical part | $15.85 | $20.89 | $37.15 |
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 $16.22 Median $16.22 Typical High $17.38 | Professional | 52 · Reduced service | $16.22 | $16.22 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $6.92 | Professional | 53 · Discontinued | $6.46 | $6.46 | $6.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.70 Median $25.70 Typical High $27.54 | Professional | FX · Film X-ray | $25.70 | $25.70 | $27.54 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $22.91 Median $25.12 Typical High $32.36 | Professional | 51 · Multiple procedures | $22.91 | $25.12 | $32.36 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $9.12 Median $10.00 Typical High $12.88 | Professional | 80 · Assistant surgeon | $9.12 | $10.00 | $12.88 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.46 Median $7.08 Typical High $9.12 | Professional | 81 · Minimal assistant surgeon | $6.46 | $7.08 | $9.12 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.46 Median $7.08 Typical High $9.12 | Professional | 82 · Assistant surgeon, no resident | $6.46 | $7.08 | $9.12 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.46 Median $7.08 Typical High $9.12 | Professional | AS · PA/NP assist | $6.46 | $7.08 | $9.12 |
Where South Carolina sits
The same service costs 4.1 times more in Alaska than in Florida. 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
$37.15
AK $117FL $28.84
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.