How much rates vary
Facilitymedian $170 · 10th to 90th $62 to $309Professionalmedian $44 · 10th to 90th $31 to $66
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 $29.51 Median $29.51 Typical High $95.50 | Facility | None | $29.51 | $29.51 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $48.98 | Professional | None (both parts) | $29.51 | $29.51 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $13.80 | Professional | 26 · Professional part | $7.41 | $7.41 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $21.88 Typical High $33.88 | Professional | TC · Technical part | $21.88 | $21.88 | $33.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $33.11 Median $37.15 Typical High $37.15 | Professional | None (both parts) | $33.11 | $37.15 | $37.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $8.51 Typical High $15.49 | Professional | 26 · Professional part | $8.51 | $8.51 | $15.49 |
BCBS South Carolina Setting Facility Modifier None Typical Low $95.50 Median $165.96 Typical High $295.12 | Facility | None | $95.50 | $165.96 | $295.12 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | TC · Technical part | $67.61 | $67.61 | $67.61 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $45.71 Typical High $66.07 | Professional | None (both parts) | $33.11 | $45.71 | $66.07 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $25.70 Typical High $32.36 | Professional | 26 · Professional part | $8.51 | $25.70 | $32.36 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $25.12 Typical High $38.90 | Professional | TC · Technical part | $18.62 | $25.12 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $281.84 Typical High $562.34 | Facility | None | $165.96 | $281.84 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $38.90 Typical High $70.79 | Professional | None (both parts) | $32.36 | $38.90 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $13.18 Typical High $22.39 | Professional | 26 · Professional part | $10.47 | $13.18 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $25.12 Typical High $47.86 | Professional | TC · Technical part | $21.88 | $25.12 | $47.86 |
Medcost Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Medcost Setting Facility Modifier None Typical Low $29.51 Median $42.66 Typical High $162.18 | Facility | None | $29.51 | $42.66 | $162.18 |
Medcost Setting Professional Modifier None (both parts) Typical Low $40.74 Median $57.54 Typical High $75.86 | Professional | None (both parts) | $40.74 | $57.54 | $75.86 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $20.89 Typical High $28.84 | Professional | 26 · Professional part | $14.79 | $20.89 | $28.84 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $36.31 Typical High $48.98 | Professional | TC · Technical part | $30.90 | $36.31 | $48.98 |
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 $30.90 Median $40.74 Typical High $70.79 | Professional | None (both parts) | $30.90 | $40.74 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.59 Typical High $21.88 | Professional | 26 · Professional part | $10.00 | $12.59 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $27.54 Typical High $50.12 | Professional | TC · Technical part | $19.95 | $27.54 | $50.12 |
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 $14.79 Median $14.79 Typical High $15.49 | Professional | 52 · Reduced service | $14.79 | $14.79 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $5.89 Typical High $6.31 | Professional | 53 · Discontinued | $5.89 | $5.89 | $6.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.44 Median $23.44 Typical High $25.12 | Professional | FX · Film X-ray | $23.44 | $23.44 | $25.12 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $23.99 Median $28.18 Typical High $38.02 | Professional | 51 · Multiple procedures | $23.99 | $28.18 | $38.02 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $9.55 Median $11.48 Typical High $15.14 | Professional | 80 · Assistant surgeon | $9.55 | $11.48 | $15.14 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.61 Median $7.94 Typical High $10.72 | Professional | 81 · Minimal assistant surgeon | $6.61 | $7.94 | $10.72 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.61 Median $7.94 Typical High $10.72 | Professional | 82 · Assistant surgeon, no resident | $6.61 | $7.94 | $10.72 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.61 Median $7.94 Typical High $10.72 | Professional | AS · PA/NP assist | $6.61 | $7.94 | $10.72 |
Where South Carolina sits
The same service costs 3.6 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· 29th of 51
$43.65
AK $105FL $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.