How much rates vary
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 $8.32 Median $8.32 Typical High $18.62 | Facility | None | $8.32 | $8.32 | $18.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $8.32 Median $8.32 Typical High $13.49 | Professional | None (both parts) | $8.32 | $8.32 | $13.49 |
BCBS South Carolina Setting Facility Modifier None Typical Low $38.90 Median $57.54 Typical High $114.82 | Facility | None | $38.90 | $57.54 | $114.82 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $11.48 Median $14.13 Typical High $14.13 | Professional | None (both parts) | $11.48 | $14.13 | $14.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $8.51 Median $11.48 Typical High $15.49 | Professional | None (both parts) | $8.51 | $11.48 | $15.49 |
Medcost Setting Facility Modifier None Typical Low $8.32 Median $21.88 Typical High $38.90 | Facility | None | $8.32 | $21.88 | $38.90 |
Medcost Setting Professional Modifier None (both parts) Typical Low $13.49 Median $16.22 Typical High $19.95 | Professional | None (both parts) | $13.49 | $16.22 | $19.95 |
United Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $13.18 | Facility | None | $12.02 | $12.02 | $13.18 |
United Setting Professional Modifier None (both parts) Typical Low $10.00 Median $12.30 Typical High $18.20 | Professional | None (both parts) | $10.00 | $12.30 | $18.20 |
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 GP · Physical therapy plan Typical Low $8.32 Median $9.33 Typical High $9.33 | Professional | GP · Physical therapy plan | $8.32 | $9.33 | $9.33 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $6.46 Typical High $8.32 | Professional | 26 · Professional part | $5.62 | $6.46 | $8.32 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $7.08 Median $8.13 Typical High $11.48 | Professional | 51 · Multiple procedures | $7.08 | $8.13 | $11.48 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $2.82 Median $3.24 Typical High $4.57 | Professional | 80 · Assistant surgeon | $2.82 | $3.24 | $4.57 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $1.95 Median $2.24 Typical High $3.24 | Professional | 81 · Minimal assistant surgeon | $1.95 | $2.24 | $3.24 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $1.95 Median $2.24 Typical High $3.24 | Professional | 82 · Assistant surgeon, no resident | $1.95 | $2.24 | $3.24 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $1.95 Median $2.24 Typical High $3.24 | Professional | AS · PA/NP assist | $1.95 | $2.24 | $3.24 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $8.32 Median $9.77 Typical High $12.59 | Professional | TC · Technical part | $8.32 | $9.77 | $12.59 |
Where South Carolina sits
The same service costs 2.4 times more in Alaska than in Missouri. 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· 40th of 51
$11.48
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.