How much rates vary
Facilitymedian $155 · 10th to 90th $71 to $380Professionalmedian $74 · 10th to 90th $31 to $107
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 $70.79 Median $85.11 Typical High $151.36 | Facility | None | $70.79 | $85.11 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $85.11 | Professional | None (both parts) | $70.79 | $70.79 | $85.11 |
BCBS South Carolina Setting Facility Modifier None Typical Low $74.13 Median $169.82 Typical High $398.11 | Facility | None | $74.13 | $169.82 | $398.11 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $30.90 Median $40.74 Typical High $93.33 | Professional | None (both parts) | $30.90 | $40.74 | $93.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $69.18 Typical High $83.18 | Professional | None (both parts) | $57.54 | $69.18 | $83.18 |
Medcost Setting Facility Modifier None Typical Low $70.79 Median $85.11 Typical High $275.42 | Facility | None | $70.79 | $85.11 | $275.42 |
Medcost Setting Professional Modifier None (both parts) Typical Low $77.62 Median $93.33 Typical High $117.49 | Professional | None (both parts) | $77.62 | $93.33 | $117.49 |
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 $97.72 Median $97.72 Typical High $107.15 | Facility | None | $97.72 | $97.72 | $107.15 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $81.28 Typical High $95.50 | Professional | None (both parts) | $69.18 | $81.28 | $95.50 |
9 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 $35.48 Median $35.48 Typical High $41.69 | Professional | 52 · Reduced service | $35.48 | $35.48 | $41.69 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $75.86 Median $75.86 Typical High $93.33 | Professional | GP · Physical therapy plan | $75.86 | $75.86 | $93.33 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $67.61 | Professional | 26 · Professional part | $37.15 | $37.15 | $67.61 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $45.71 Median $46.77 Typical High $72.44 | Professional | 51 · Multiple procedures | $45.71 | $46.77 | $72.44 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $18.20 Median $18.62 Typical High $28.84 | Professional | 80 · Assistant surgeon | $18.20 | $18.62 | $28.84 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.88 Median $13.18 Typical High $20.42 | Professional | 81 · Minimal assistant surgeon | $12.88 | $13.18 | $20.42 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.88 Median $13.18 Typical High $20.42 | Professional | 82 · Assistant surgeon, no resident | $12.88 | $13.18 | $20.42 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $12.88 Median $13.18 Typical High $20.42 | Professional | AS · PA/NP assist | $12.88 | $13.18 | $20.42 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $102.33 | Professional | TC · Technical part | $56.23 | $56.23 | $102.33 |
Where South Carolina sits
The same service costs 3.3 times more in Alaska than in Florida. 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· 44th of 51
$74.13
AK $200FL $60.26
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.