How much rates vary
Facilitymedian $1,318 · 10th to 90th $562 to $3,236Professionalmedian $151 · 10th to 90th $95 to $269
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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $151.36 | Professional | None (both parts) | $138.04 | $138.04 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $51.29 | Professional | 26 · Professional part | $47.86 | $47.86 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $100.00 | Professional | TC · Technical part | $91.20 | $91.20 | $100.00 |
BCBS South Carolina Setting Facility Modifier None Typical Low $676.08 Median $1,380.38 Typical High $3,162.28 | Facility | None | $676.08 | $1,380.38 | $3,162.28 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | TC · Technical part | $467.74 | $467.74 | $467.74 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $120.23 Median $141.25 Typical High $194.98 | Professional | None (both parts) | $120.23 | $141.25 | $194.98 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $66.07 Typical High $74.13 | Professional | 26 · Professional part | $53.70 | $66.07 | $74.13 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $95.50 Typical High $107.15 | Professional | TC · Technical part | $53.70 | $95.50 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,089.30 Typical High $4,168.69 | Facility | None | $645.65 | $2,089.30 | $4,168.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $151.36 Typical High $295.12 | Professional | None (both parts) | $123.03 | $151.36 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $67.61 Typical High $120.23 | Professional | 26 · Professional part | $54.95 | $67.61 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $83.18 Typical High $186.21 | Professional | TC · Technical part | $60.26 | $83.18 | $186.21 |
Medcost Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
Medcost Setting Facility Modifier None Typical Low $104.71 Median $186.21 Typical High $891.25 | Facility | None | $104.71 | $186.21 | $891.25 |
Medcost Setting Professional Modifier None (both parts) Typical Low $177.83 Median $186.21 Typical High $223.87 | Professional | None (both parts) | $177.83 | $186.21 | $223.87 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $97.72 Typical High $131.83 | Professional | 26 · Professional part | $72.44 | $97.72 | $131.83 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $107.15 Typical High $194.98 | Professional | TC · Technical part | $93.33 | $107.15 | $194.98 |
Molina Setting Professional Modifier None (both parts) Typical Low $54.95 Median $162.18 Typical High $281.84 | Professional | None (both parts) | $54.95 | $162.18 | $281.84 |
United Setting Facility Modifier None Typical Low $3,311.31 Median $3,981.07 Typical High $5,248.07 | Facility | None | $3,311.31 | $3,981.07 | $5,248.07 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $165.96 Typical High $309.03 | Professional | None (both parts) | $125.89 | $165.96 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $67.61 Typical High $120.23 | Professional | 26 · Professional part | $53.70 | $67.61 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $100.00 Typical High $199.53 | Professional | TC · Technical part | $67.61 | $100.00 | $199.53 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $69.18 Typical High $75.86 | Professional | 52 · Reduced service | $69.18 | $69.18 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $30.20 | Professional | 53 · Discontinued | $27.54 | $27.54 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $109.65 Typical High $120.23 | Professional | FX · Film X-ray | $109.65 | $109.65 | $120.23 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $89.13 Median $95.50 Typical High $151.36 | Professional | 51 · Multiple procedures | $89.13 | $95.50 | $151.36 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $35.48 Median $38.02 Typical High $60.26 | Professional | 80 · Assistant surgeon | $35.48 | $38.02 | $60.26 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $25.12 Median $26.30 Typical High $42.66 | Professional | 81 · Minimal assistant surgeon | $25.12 | $26.30 | $42.66 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $25.12 Median $26.30 Typical High $42.66 | Professional | 82 · Assistant surgeon, no resident | $25.12 | $26.30 | $42.66 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $25.12 Median $26.30 Typical High $42.66 | Professional | AS · PA/NP assist | $25.12 | $26.30 | $42.66 |
Where South Carolina sits
The same service costs 4.3 times more in Alaska than in Utah. 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· 43rd of 51
$155
AK $513UT $120
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.