How much rates vary
Facilitymedian $275 · 10th to 90th $123 to $1,445Professionalmedian $55 · 10th to 90th $38 to $81
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 $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $53.70 | Professional | None (both parts) | $50.12 | $50.12 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $15.49 | Professional | 26 · Professional part | $14.45 | $14.45 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $35.48 Typical High $38.02 | Professional | TC · Technical part | $35.48 | $35.48 | $38.02 |
BCBS South Carolina Setting Facility Modifier None Typical Low $125.89 Median $251.19 Typical High $489.78 | Facility | None | $125.89 | $251.19 | $489.78 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | TC · Technical part | $85.11 | $85.11 | $85.11 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $46.77 Median $56.23 Typical High $75.86 | Professional | None (both parts) | $46.77 | $56.23 | $75.86 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $18.62 Typical High $29.51 | Professional | 26 · Professional part | $16.22 | $18.62 | $29.51 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $33.11 Typical High $46.77 | Professional | TC · Technical part | $28.84 | $33.11 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $1,445.44 Typical High $2,884.03 | Facility | None | $269.15 | $1,445.44 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $54.95 Typical High $104.71 | Professional | None (both parts) | $42.66 | $54.95 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $19.50 Typical High $34.67 | Professional | 26 · Professional part | $15.49 | $19.50 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $34.67 Typical High $74.13 | Professional | TC · Technical part | $26.92 | $34.67 | $74.13 |
Medcost Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
Medcost Setting Facility Modifier None Typical Low $41.69 Median $52.48 Typical High $165.96 | Facility | None | $41.69 | $52.48 | $165.96 |
Medcost Setting Professional Modifier None (both parts) Typical Low $61.66 Median $72.44 Typical High $89.13 | Professional | None (both parts) | $61.66 | $72.44 | $89.13 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.84 Typical High $38.02 | Professional | 26 · Professional part | $24.55 | $28.84 | $38.02 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $45.71 Typical High $75.86 | Professional | TC · Technical part | $37.15 | $45.71 | $75.86 |
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 $2,290.87 Median $2,754.23 Typical High $3,630.78 | Facility | None | $2,290.87 | $2,754.23 | $3,630.78 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $58.88 Typical High $112.20 | Professional | None (both parts) | $40.74 | $58.88 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $19.95 Typical High $36.31 | Professional | 26 · Professional part | $15.85 | $19.95 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $38.90 Typical High $79.43 | Professional | TC · Technical part | $25.70 | $38.90 | $79.43 |
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 $25.12 Median $25.12 Typical High $26.92 | Professional | 52 · Reduced service | $25.12 | $25.12 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $10.72 | Professional | 53 · Discontinued | $10.00 | $10.00 | $10.72 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $40.74 Median $40.74 Typical High $42.66 | Professional | FX · Film X-ray | $40.74 | $40.74 | $42.66 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $30.90 Median $36.31 Typical High $53.70 | Professional | 51 · Multiple procedures | $30.90 | $36.31 | $53.70 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $12.30 Median $14.45 Typical High $21.38 | Professional | 80 · Assistant surgeon | $12.30 | $14.45 | $21.38 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.51 Median $10.00 Typical High $15.14 | Professional | 81 · Minimal assistant surgeon | $8.51 | $10.00 | $15.14 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.51 Median $10.00 Typical High $15.14 | Professional | 82 · Assistant surgeon, no resident | $8.51 | $10.00 | $15.14 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $8.51 Median $10.00 Typical High $15.14 | Professional | AS · PA/NP assist | $8.51 | $10.00 | $15.14 |
Where South Carolina sits
The same service costs 5.6 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
$56.23
AK $182UT $32.36
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.