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 $10.23 Median $10.23 Typical High $19.05 | Facility | None | $10.23 | $10.23 | $19.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $10.23 Median $10.23 Typical High $13.18 | Professional | None (both parts) | $10.23 | $10.23 | $13.18 |
BCBS South Carolina Setting Facility Modifier None Typical Low $24.55 Median $60.26 Typical High $114.82 | Facility | None | $24.55 | $60.26 | $114.82 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $14.13 Median $14.13 Typical High $19.05 | Professional | None (both parts) | $14.13 | $14.13 | $19.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $10.23 Median $12.59 Typical High $15.85 | Professional | None (both parts) | $10.23 | $12.59 | $15.85 |
Medcost Setting Facility Modifier None Typical Low $10.23 Median $21.38 Typical High $40.74 | Facility | None | $10.23 | $21.38 | $40.74 |
Medcost Setting Professional Modifier None (both parts) Typical Low $15.14 Median $16.98 Typical High $20.89 | Professional | None (both parts) | $15.14 | $16.98 | $20.89 |
United Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $16.22 | Facility | None | $14.79 | $14.79 | $16.22 |
United Setting Professional Modifier None (both parts) Typical Low $12.30 Median $14.45 Typical High $18.62 | Professional | None (both parts) | $12.30 | $14.45 | $18.62 |
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 $11.22 Median $12.02 Typical High $19.95 | Professional | GP · Physical therapy plan | $11.22 | $12.02 | $19.95 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $6.76 Typical High $9.77 | Professional | 26 · Professional part | $6.46 | $6.76 | $9.77 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $7.94 Median $8.51 Typical High $11.48 | Professional | 51 · Multiple procedures | $7.94 | $8.51 | $11.48 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $3.24 Median $3.39 Typical High $4.57 | Professional | 80 · Assistant surgeon | $3.24 | $3.39 | $4.57 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.24 Median $2.40 Typical High $3.24 | Professional | 81 · Minimal assistant surgeon | $2.24 | $2.40 | $3.24 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.24 Median $2.40 Typical High $3.24 | Professional | 82 · Assistant surgeon, no resident | $2.24 | $2.40 | $3.24 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.24 Median $2.40 Typical High $3.24 | Professional | AS · PA/NP assist | $2.24 | $2.40 | $3.24 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $9.55 Median $10.23 Typical High $14.79 | Professional | TC · Technical part | $9.55 | $10.23 | $14.79 |
Where South Carolina sits
The same service costs 2.6 times more in Alaska than in Delaware. 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· 32nd of 51
$14.13
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.