How much rates vary
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 $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $72.44 | Professional | None | $58.88 | $58.88 | $72.44 |
BCBS South Carolina Setting Professional Modifier None Typical Low $67.61 Median $100.00 Typical High $204.17 | Professional | None | $67.61 | $100.00 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $93.33 Typical High $144.54 | Professional | None | $67.61 | $93.33 | $144.54 |
Medcost Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Medcost Setting Facility Modifier None Typical Low $58.88 Median $70.79 Typical High $194.98 | Facility | None | $58.88 | $70.79 | $194.98 |
Medcost Setting Professional Modifier None Typical Low $95.50 Median $120.23 Typical High $169.82 | Professional | None | $95.50 | $120.23 | $169.82 |
Molina Setting Professional Modifier None Typical Low $67.61 Median $102.33 Typical High $128.82 | Professional | None | $67.61 | $102.33 | $128.82 |
United Setting Professional Modifier None Typical Low $66.07 Median $85.11 Typical High $134.90 | Professional | None | $66.07 | $85.11 | $134.90 |
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 $29.51 Median $29.51 Typical High $34.67 | Professional | 52 · Reduced service | $29.51 | $29.51 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $13.80 | Professional | 53 · Discontinued | $11.75 | $11.75 | $13.80 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $47.86 Median $47.86 Typical High $56.23 | Professional | FX · Film X-ray | $47.86 | $47.86 | $56.23 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $51.29 Median $58.88 Typical High $85.11 | Professional | 51 · Multiple procedures | $51.29 | $58.88 | $85.11 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $20.42 Median $23.99 Typical High $33.88 | Professional | 80 · Assistant surgeon | $20.42 | $23.99 | $33.88 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $14.13 Median $16.60 Typical High $23.44 | Professional | 81 · Minimal assistant surgeon | $14.13 | $16.60 | $23.44 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $14.13 Median $16.60 Typical High $23.44 | Professional | 82 · Assistant surgeon, no resident | $14.13 | $16.60 | $23.44 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $14.13 Median $16.60 Typical High $23.44 | Professional | AS · PA/NP assist | $14.13 | $16.60 | $23.44 |
Where South Carolina sits
The same service costs 4.2 times more in Alaska than in New York. 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· 21st of 51
$100
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.