How much rates vary
Facilitymedian $257 · 10th to 90th $102 to $562Professionalmedian $76 · 10th to 90th $66 to $129
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 $75.86 Median $95.50 Typical High $147.91 | Facility | None | $75.86 | $95.50 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $109.65 | Professional | None (both parts) | $75.86 | $75.86 | $109.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $38.02 Typical High $54.95 | Professional | 52 · Reduced service | $38.02 | $38.02 | $54.95 |
BCBS South Carolina Setting Facility Modifier None Typical Low $165.96 Median $275.42 Typical High $562.34 | Facility | None | $165.96 | $275.42 | $562.34 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $66.07 Median $70.79 Typical High $107.15 | Professional | None (both parts) | $66.07 | $70.79 | $107.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $102.33 Typical High $144.54 | Professional | None (both parts) | $97.72 | $102.33 | $144.54 |
Medcost Setting Facility Modifier None Typical Low $75.86 Median $91.20 Typical High $309.03 | Facility | None | $75.86 | $91.20 | $309.03 |
Medcost Setting Professional Modifier None (both parts) Typical Low $87.10 Median $107.15 Typical High $128.82 | Professional | None (both parts) | $87.10 | $107.15 | $128.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $95.50 Median $123.03 Typical High $190.55 | Professional | None (both parts) | $95.50 | $123.03 | $190.55 |
United Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $123.03 | Facility | None | $112.20 | $112.20 | $123.03 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $89.13 Typical High $131.83 | Professional | None (both parts) | $75.86 | $89.13 | $131.83 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GN · Speech therapy plan Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | GN · Speech therapy plan | $147.91 | $147.91 | $147.91 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $75.86 | Professional | 26 · Professional part | $42.66 | $42.66 | $75.86 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $53.70 Median $53.70 Typical High $85.11 | Professional | 51 · Multiple procedures | $53.70 | $53.70 | $85.11 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $21.38 Median $21.38 Typical High $32.36 | Professional | 80 · Assistant surgeon | $21.38 | $21.38 | $32.36 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $14.79 Median $14.79 Typical High $22.39 | Professional | 81 · Minimal assistant surgeon | $14.79 | $14.79 | $22.39 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $14.79 Median $14.79 Typical High $22.39 | Professional | 82 · Assistant surgeon, no resident | $14.79 | $14.79 | $22.39 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $14.79 Median $14.79 Typical High $22.39 | Professional | AS · PA/NP assist | $14.79 | $14.79 | $22.39 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $112.20 | Professional | TC · Technical part | $64.57 | $64.57 | $112.20 |
Where South Carolina sits
The same service costs 3.3 times more in Alaska than in Kentucky. 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· 49th of 51
$83.18
AK $245KY $74.13
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.