How much rates vary
Facilitymedian $158 · 10th to 90th $58 to $295Professionalmedian $39 · 10th to 90th $28 to $60
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 $26.30 Median $26.30 Typical High $48.98 | Facility | None | $26.30 | $26.30 | $48.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $26.30 Typical High $40.74 | Professional | None (both parts) | $26.30 | $26.30 | $40.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.08 Typical High $10.96 | Professional | 26 · Professional part | $7.08 | $7.08 | $10.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $19.05 Typical High $30.20 | Professional | TC · Technical part | $19.05 | $19.05 | $30.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | 26 · Professional part | $8.13 | $8.13 | $8.13 |
BCBS South Carolina Setting Facility Modifier None Typical Low $81.28 Median $158.49 Typical High $295.12 | Facility | None | $81.28 | $158.49 | $295.12 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | TC · Technical part | $57.54 | $57.54 | $57.54 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $39.81 Typical High $53.70 | Professional | None (both parts) | $30.20 | $39.81 | $53.70 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $19.05 Typical High $25.70 | Professional | 26 · Professional part | $8.13 | $19.05 | $25.70 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $22.39 Typical High $30.20 | Professional | TC · Technical part | $18.62 | $22.39 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $257.04 Typical High $467.74 | Facility | None | $144.54 | $257.04 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $33.11 Typical High $60.26 | Professional | None (both parts) | $27.54 | $33.11 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.00 Typical High $16.98 | Professional | 26 · Professional part | $7.59 | $10.00 | $16.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $23.44 Typical High $43.65 | Professional | TC · Technical part | $19.95 | $23.44 | $43.65 |
Medcost Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
Medcost Setting Facility Modifier None Typical Low $26.30 Median $35.48 Typical High $162.18 | Facility | None | $26.30 | $35.48 | $162.18 |
Medcost Setting Professional Modifier None (both parts) Typical Low $36.31 Median $51.29 Typical High $57.54 | Professional | None (both parts) | $36.31 | $51.29 | $57.54 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $15.14 Typical High $22.91 | Professional | 26 · Professional part | $12.02 | $15.14 | $22.91 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $34.67 Typical High $54.95 | Professional | TC · Technical part | $26.92 | $34.67 | $54.95 |
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 $363.08 Median $446.68 Typical High $575.44 | Facility | None | $363.08 | $446.68 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $25.70 Median $35.48 Typical High $61.66 | Professional | None (both parts) | $25.70 | $35.48 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.77 Typical High $17.78 | Professional | 26 · Professional part | $7.94 | $9.77 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $25.12 Typical High $43.65 | Professional | TC · Technical part | $18.20 | $25.12 | $43.65 |
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 $13.18 Median $13.18 Typical High $14.13 | Professional | 52 · Reduced service | $13.18 | $13.18 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.25 Typical High $5.62 | Professional | 53 · Discontinued | $5.25 | $5.25 | $5.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $20.89 Median $20.89 Typical High $22.91 | Professional | FX · Film X-ray | $20.89 | $20.89 | $22.91 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $19.50 Median $25.70 Typical High $30.90 | Professional | 51 · Multiple procedures | $19.50 | $25.70 | $30.90 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.94 Median $10.23 Typical High $12.30 | Professional | 80 · Assistant surgeon | $7.94 | $10.23 | $12.30 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.50 Median $7.08 Typical High $8.51 | Professional | 81 · Minimal assistant surgeon | $5.50 | $7.08 | $8.51 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.50 Median $7.08 Typical High $8.51 | Professional | 82 · Assistant surgeon, no resident | $5.50 | $7.08 | $8.51 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.50 Median $7.08 Typical High $8.51 | Professional | AS · PA/NP assist | $5.50 | $7.08 | $8.51 |
Where South Carolina sits
The same service costs 3.5 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· 20th of 51
$40.74
AK $87.10FL $25.12
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.