How much rates vary
Facilitymedian $174 · 10th to 90th $76 to $309Professionalmedian $40 · 10th to 90th $32 to $62
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 $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $31.62 Typical High $37.15 | Professional | None (both parts) | $31.62 | $31.62 | $37.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $8.71 | Professional | 26 · Professional part | $7.41 | $7.41 | $8.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $26.92 | Professional | TC · Technical part | $23.99 | $23.99 | $26.92 |
BCBS South Carolina Setting Facility Modifier None Typical Low $79.43 Median $154.88 Typical High $295.12 | Facility | None | $79.43 | $154.88 | $295.12 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | TC · Technical part | $53.70 | $53.70 | $53.70 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $36.31 Typical High $54.95 | Professional | None (both parts) | $33.88 | $36.31 | $54.95 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $19.95 Typical High $22.91 | Professional | 26 · Professional part | $8.51 | $19.95 | $22.91 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $26.92 Typical High $30.90 | Professional | TC · Technical part | $13.49 | $26.92 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $281.84 Typical High $562.34 | Facility | None | $181.97 | $281.84 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $37.15 Typical High $69.18 | Professional | None (both parts) | $30.20 | $37.15 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.23 Typical High $18.20 | Professional | 26 · Professional part | $8.32 | $10.23 | $18.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $26.92 Typical High $51.29 | Professional | TC · Technical part | $22.39 | $26.92 | $51.29 |
Medcost Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None | $67.61 | $67.61 | $67.61 |
Medcost Setting Facility Modifier None Typical Low $30.20 Median $34.67 Typical High $102.33 | Facility | None | $30.20 | $34.67 | $102.33 |
Medcost Setting Professional Modifier None (both parts) Typical Low $39.81 Median $50.12 Typical High $58.88 | Professional | None (both parts) | $39.81 | $50.12 | $58.88 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $15.85 Typical High $23.44 | Professional | 26 · Professional part | $12.59 | $15.85 | $23.44 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $36.31 Typical High $51.29 | Professional | TC · Technical part | $31.62 | $36.31 | $51.29 |
Molina Setting Professional Modifier None (both parts) Typical Low $32.36 Median $43.65 Typical High $61.66 | Professional | None (both parts) | $32.36 | $43.65 | $61.66 |
United Setting Facility Modifier None Typical Low $436.52 Median $537.03 Typical High $691.83 | Facility | None | $436.52 | $537.03 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $28.84 Median $40.74 Typical High $70.79 | Professional | None (both parts) | $28.84 | $40.74 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.23 Typical High $18.62 | Professional | 26 · Professional part | $8.13 | $10.23 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $29.51 Typical High $53.70 | Professional | TC · Technical part | $21.38 | $29.51 | $53.70 |
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 $15.85 Median $15.85 Typical High $16.98 | Professional | 52 · Reduced service | $15.85 | $15.85 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $6.76 | Professional | 53 · Discontinued | $6.31 | $6.31 | $6.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.12 Median $25.12 Typical High $26.92 | Professional | FX · Film X-ray | $25.12 | $25.12 | $26.92 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $60.26 Median $77.62 Typical High $100.00 | Professional | 50 · Both sides | $60.26 | $77.62 | $100.00 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $19.95 Median $25.70 Typical High $33.88 | Professional | 51 · Multiple procedures | $19.95 | $25.70 | $33.88 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.94 Median $10.47 Typical High $13.49 | Professional | 80 · Assistant surgeon | $7.94 | $10.47 | $13.49 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.62 Median $7.24 Typical High $9.33 | Professional | 81 · Minimal assistant surgeon | $5.62 | $7.24 | $9.33 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.62 Median $7.24 Typical High $9.33 | Professional | 82 · Assistant surgeon, no resident | $5.62 | $7.24 | $9.33 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.62 Median $7.24 Typical High $9.33 | Professional | AS · PA/NP assist | $5.62 | $7.24 | $9.33 |
Where South Carolina sits
The same service costs 3.9 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· 35th of 51
$39.81
AK $112FL $28.84
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.