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 $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $13.80 Median $13.80 Typical High $16.22 | Professional | None (both parts) | $13.80 | $13.80 | $16.22 |
BCBS South Carolina Setting Facility Modifier None Typical Low $33.88 Median $66.07 Typical High $177.83 | Facility | None | $33.88 | $66.07 | $177.83 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $18.20 Median $19.05 Typical High $19.05 | Professional | None (both parts) | $18.20 | $19.05 | $19.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $14.13 Median $18.20 Typical High $21.88 | Professional | None (both parts) | $14.13 | $18.20 | $21.88 |
Medcost Setting Facility Modifier None Typical Low $13.80 Median $37.15 Typical High $66.07 | Facility | None | $13.80 | $37.15 | $66.07 |
Medcost Setting Professional Modifier None (both parts) Typical Low $19.05 Median $25.12 Typical High $26.30 | Professional | None (both parts) | $19.05 | $25.12 | $26.30 |
United Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $20.89 | Facility | None | $19.05 | $19.05 | $20.89 |
United Setting Professional Modifier None (both parts) Typical Low $16.22 Median $19.95 Typical High $30.20 | Professional | None (both parts) | $16.22 | $19.95 | $30.20 |
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 $21.88 Median $21.88 Typical High $24.55 | Professional | GP · Physical therapy plan | $21.88 | $21.88 | $24.55 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.47 Typical High $14.13 | Professional | 26 · Professional part | $7.59 | $10.47 | $14.13 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $9.77 Median $12.88 Typical High $17.78 | Professional | 51 · Multiple procedures | $9.77 | $12.88 | $17.78 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $3.89 Median $5.25 Typical High $7.08 | Professional | 80 · Assistant surgeon | $3.89 | $5.25 | $7.08 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.75 Median $3.63 Typical High $4.90 | Professional | 81 · Minimal assistant surgeon | $2.75 | $3.63 | $4.90 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.75 Median $3.63 Typical High $4.90 | Professional | 82 · Assistant surgeon, no resident | $2.75 | $3.63 | $4.90 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.75 Median $3.63 Typical High $4.90 | Professional | AS · PA/NP assist | $2.75 | $3.63 | $4.90 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $15.49 Typical High $20.89 | Professional | TC · Technical part | $11.48 | $15.49 | $20.89 |
Where South Carolina sits
The same service costs 3.0 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· 37th of 51
$18.20
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.