How much rates vary
Facilitymedian $66 · 10th to 90th $66 to $447Professionalmedian $78 · 10th to 90th $36 to $162
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 $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $66.07 Typical High $70.79 | Professional | None (both parts) | $41.69 | $66.07 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $26.92 Typical High $28.84 | Professional | 26 · Professional part | $19.50 | $26.92 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $38.90 Typical High $42.66 | Professional | TC · Technical part | $21.88 | $38.90 | $42.66 |
BCBS South Carolina Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $123.03 | Professional | None (both parts) | $77.62 | $77.62 | $123.03 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $36.31 Typical High $53.70 | Professional | 26 · Professional part | $30.90 | $36.31 | $53.70 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $46.77 Typical High $64.57 | Professional | TC · Technical part | $38.90 | $46.77 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $74.13 Typical High $134.90 | Professional | None (both parts) | $50.12 | $74.13 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $25.70 Typical High $56.23 | Professional | 26 · Professional part | $16.60 | $25.70 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $38.90 Typical High $81.28 | Professional | TC · Technical part | $23.99 | $38.90 | $81.28 |
Medcost Setting Facility Modifier None Typical Low $37.15 Median $70.79 Typical High $218.78 | Facility | None | $37.15 | $70.79 | $218.78 |
Medcost Setting Professional Modifier None (both parts) Typical Low $54.95 Median $91.20 Typical High $123.03 | Professional | None (both parts) | $54.95 | $91.20 | $123.03 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.11 Typical High $57.54 | Professional | 26 · Professional part | $26.92 | $33.11 | $57.54 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $67.61 Typical High $79.43 | Professional | TC · Technical part | $20.89 | $67.61 | $79.43 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $61.66 Typical High $173.78 | Professional | None (both parts) | $33.88 | $61.66 | $173.78 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $75.86 Typical High $125.89 | Professional | None (both parts) | $38.90 | $75.86 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $33.11 Typical High $56.23 | Professional | 26 · Professional part | $18.62 | $33.11 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $43.65 Typical High $74.13 | Professional | TC · Technical part | $21.38 | $43.65 | $74.13 |
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 $33.11 Median $33.11 Typical High $35.48 | Professional | 52 · Reduced service | $33.11 | $33.11 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $14.13 | Professional | 53 · Discontinued | $13.18 | $13.18 | $14.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $52.48 Median $52.48 Typical High $56.23 | Professional | FX · Film X-ray | $52.48 | $52.48 | $56.23 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $27.54 Median $57.54 Typical High $70.79 | Professional | 51 · Multiple procedures | $27.54 | $57.54 | $70.79 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $11.22 Median $22.91 Typical High $28.18 | Professional | 80 · Assistant surgeon | $11.22 | $22.91 | $28.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.76 Median $15.85 Typical High $19.95 | Professional | 81 · Minimal assistant surgeon | $7.76 | $15.85 | $19.95 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.76 Median $15.85 Typical High $19.95 | Professional | 82 · Assistant surgeon, no resident | $7.76 | $15.85 | $19.95 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $7.76 Median $15.85 Typical High $19.95 | Professional | AS · PA/NP assist | $7.76 | $15.85 | $19.95 |
Where South Carolina sits
The same service costs 5.9 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· 35th of 51
$77.62
AK $245TX $41.69
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.