How much rates vary
Facilitymedian $603 · 10th to 90th $219 to $1,288Professionalmedian $81 · 10th to 90th $51 to $275
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 $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $204.17 | Professional | None (both parts) | $186.21 | $186.21 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $12.88 | Professional | 26 · Professional part | $12.30 | $12.30 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $204.17 | Professional | TC · Technical part | $186.21 | $186.21 | $204.17 |
BCBS South Carolina Setting Facility Modifier None Typical Low $288.40 Median $588.84 Typical High $1,288.25 | Facility | None | $288.40 | $588.84 | $1,288.25 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | TC · Technical part | $199.53 | $199.53 | $199.53 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $53.70 Median $63.10 Typical High $229.09 | Professional | None (both parts) | $53.70 | $63.10 | $229.09 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.60 Typical High $23.99 | Professional | 26 · Professional part | $13.80 | $16.60 | $23.99 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $43.65 Typical High $218.78 | Professional | TC · Technical part | $36.31 | $43.65 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $645.65 Typical High $1,288.25 | Facility | None | $213.80 | $645.65 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $54.95 Typical High $97.72 | Professional | None (both parts) | $46.77 | $54.95 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.98 Typical High $29.51 | Professional | 26 · Professional part | $13.49 | $16.98 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $38.02 Typical High $69.18 | Professional | TC · Technical part | $33.11 | $38.02 | $69.18 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 26 · Professional part | $28.84 | $28.84 | $28.84 |
Medcost Setting Facility Modifier None Typical Low $47.86 Median $208.93 Typical High $251.19 | Facility | None | $47.86 | $208.93 | $251.19 |
Medcost Setting Professional Modifier None (both parts) Typical Low $81.28 Median $194.98 Typical High $331.13 | Professional | None (both parts) | $81.28 | $194.98 | $331.13 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.12 Typical High $35.48 | Professional | 26 · Professional part | $21.88 | $25.12 | $35.48 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $229.09 Typical High $478.63 | Professional | TC · Technical part | $56.23 | $229.09 | $478.63 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,202.26 Typical High $1,584.89 | Facility | None | $1,000.00 | $1,202.26 | $1,584.89 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $223.87 Typical High $457.09 | Professional | None (both parts) | $48.98 | $223.87 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.98 Typical High $30.90 | Professional | 26 · Professional part | $13.49 | $16.98 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $213.80 Typical High $436.52 | Professional | TC · Technical part | $34.67 | $213.80 | $436.52 |
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 $93.33 Median $93.33 Typical High $102.33 | Professional | 52 · Reduced service | $93.33 | $93.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $40.74 | Professional | 53 · Discontinued | $37.15 | $37.15 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $151.36 Median $151.36 Typical High $158.49 | Professional | FX · Film X-ray | $151.36 | $151.36 | $158.49 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $40.74 Median $97.72 Typical High $223.87 | Professional | 51 · Multiple procedures | $40.74 | $97.72 | $223.87 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $16.22 Median $38.90 Typical High $89.13 | Professional | 80 · Assistant surgeon | $16.22 | $38.90 | $89.13 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $11.22 Median $27.54 Typical High $61.66 | Professional | 81 · Minimal assistant surgeon | $11.22 | $27.54 | $61.66 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $11.22 Median $27.54 Typical High $61.66 | Professional | 82 · Assistant surgeon, no resident | $11.22 | $27.54 | $61.66 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $11.22 Median $27.54 Typical High $61.66 | Professional | AS · PA/NP assist | $11.22 | $27.54 | $61.66 |
Where South Carolina sits
The same service costs 6.6 times more in Colorado than in Michigan. 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· 33rd of 51
$120
CO $316MI $47.86
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.