How much rates vary
Facilitymedian $71 · 10th to 90th $28 to $132Professionalmedian $26 · 10th to 90th $21 to $40
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 $25.70 Median $33.11 Typical High $53.70 | Facility | None | $25.70 | $33.11 | $53.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $25.70 Typical High $33.88 | Professional | None (both parts) | $25.70 | $25.70 | $33.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None (both parts) | $33.88 | $33.88 | $33.88 |
BCBS South Carolina Setting Facility Modifier None Typical Low $33.11 Median $74.13 Typical High $131.83 | Facility | None | $33.11 | $74.13 | $131.83 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $21.38 Median $22.91 Typical High $33.88 | Professional | None (both parts) | $21.38 | $22.91 | $33.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $23.44 Typical High $33.11 | Professional | None (both parts) | $22.91 | $23.44 | $33.11 |
Medcost Setting Facility Modifier None Typical Low $25.70 Median $39.81 Typical High $100.00 | Facility | None | $25.70 | $39.81 | $100.00 |
Medcost Setting Professional Modifier None (both parts) Typical Low $28.84 Median $31.62 Typical High $42.66 | Professional | None (both parts) | $28.84 | $31.62 | $42.66 |
Molina Setting Professional Modifier None (both parts) Typical Low $29.51 Median $39.81 Typical High $61.66 | Professional | None (both parts) | $29.51 | $39.81 | $61.66 |
United Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $38.90 | Facility | None | $34.67 | $34.67 | $38.90 |
United Setting Professional Modifier None (both parts) Typical Low $26.30 Median $33.11 Typical High $38.02 | Professional | None (both parts) | $26.30 | $33.11 | $38.02 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $26.92 Median $26.92 Typical High $47.86 | Professional | GO · Occupational therapy plan | $26.92 | $26.92 | $47.86 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $26.92 Median $26.92 Typical High $33.88 | Professional | GP · Physical therapy plan | $26.92 | $26.92 | $33.88 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.59 Typical High $24.55 | Professional | 26 · Professional part | $12.30 | $12.59 | $24.55 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $14.13 Median $15.85 Typical High $26.30 | Professional | 51 · Multiple procedures | $14.13 | $15.85 | $26.30 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.75 Median $6.31 Typical High $10.72 | Professional | 80 · Assistant surgeon | $5.75 | $6.31 | $10.72 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.98 Median $4.47 Typical High $7.41 | Professional | 81 · Minimal assistant surgeon | $3.98 | $4.47 | $7.41 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.98 Median $4.47 Typical High $7.41 | Professional | 82 · Assistant surgeon, no resident | $3.98 | $4.47 | $7.41 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.98 Median $4.47 Typical High $7.41 | Professional | AS · PA/NP assist | $3.98 | $4.47 | $7.41 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $19.05 Typical High $37.15 | Professional | TC · Technical part | $18.62 | $19.05 | $37.15 |
Where South Carolina sits
The same service costs 3.2 times more in Alaska than in Virginia. 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· 46th of 51
$25.70
AK $70.79VA $22.39
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.