How much rates vary
Facilitymedian $275 · 10th to 90th $120 to $490Professionalmedian $51 · 10th to 90th $36 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 $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $53.70 | Professional | None (both parts) | $36.31 | $36.31 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $11.48 Typical High $17.38 | Professional | 26 · Professional part | $11.48 | $11.48 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $38.90 | Professional | TC · Technical part | $25.12 | $25.12 | $38.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None (both parts) | $40.74 | $40.74 | $40.74 |
BCBS Setting Facility Modifier None Typical Low $144.54 Median $269.15 Typical High $489.78 | Facility | None | $144.54 | $269.15 | $489.78 |
BCBS Setting Facility Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | TC · Technical part | $100.00 | $100.00 | $100.00 |
BCBS Setting Professional Modifier None (both parts) Typical Low $40.74 Median $63.10 Typical High $91.20 | Professional | None (both parts) | $40.74 | $63.10 | $91.20 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $32.36 Typical High $40.74 | Professional | 26 · Professional part | $12.59 | $32.36 | $40.74 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $32.36 Typical High $44.67 | Professional | TC · Technical part | $28.18 | $32.36 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $281.84 Typical High $562.34 | Facility | None | $190.55 | $281.84 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $51.29 Typical High $93.33 | Professional | None (both parts) | $44.67 | $51.29 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $18.62 Typical High $33.11 | Professional | 26 · Professional part | $15.49 | $18.62 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $32.36 Typical High $60.26 | Professional | TC · Technical part | $29.51 | $32.36 | $60.26 |
Medcost Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
Medcost Setting Facility Modifier None Typical Low $36.31 Median $47.86 Typical High $120.23 | Facility | None | $36.31 | $47.86 | $120.23 |
Medcost Setting Professional Modifier None (both parts) Typical Low $50.12 Median $81.28 Typical High $93.33 | Professional | None (both parts) | $50.12 | $81.28 | $93.33 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $28.84 Typical High $38.90 | Professional | 26 · Professional part | $22.91 | $28.84 | $38.90 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $50.12 Typical High $57.54 | Professional | TC · Technical part | $38.90 | $50.12 | $57.54 |
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 $40.74 Median $51.29 Typical High $87.10 | Professional | None (both parts) | $40.74 | $51.29 | $87.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $17.78 Typical High $30.90 | Professional | 26 · Professional part | $13.80 | $17.78 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $33.88 Typical High $57.54 | Professional | TC · Technical part | $25.70 | $33.88 | $57.54 |
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 $18.20 Median $18.20 Typical High $19.95 | Professional | 52 · Reduced service | $18.20 | $18.20 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $7.94 | Professional | 53 · Discontinued | $7.24 | $7.24 | $7.94 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $29.51 Median $29.51 Typical High $31.62 | Professional | FX · Film X-ray | $29.51 | $29.51 | $31.62 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $30.90 Median $40.74 Typical High $46.77 | Professional | 51 · Multiple procedures | $30.90 | $40.74 | $46.77 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $12.30 Median $16.22 Typical High $18.62 | Professional | 80 · Assistant surgeon | $12.30 | $16.22 | $18.62 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.71 Median $11.22 Typical High $12.88 | Professional | 81 · Minimal assistant surgeon | $8.71 | $11.22 | $12.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.71 Median $11.22 Typical High $12.88 | Professional | 82 · Assistant surgeon, no resident | $8.71 | $11.22 | $12.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $8.71 Median $11.22 Typical High $12.88 | Professional | AS · PA/NP assist | $8.71 | $11.22 | $12.88 |
Where South Carolina sits
The same service costs 4.0 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· 30th of 51
$54.95
AK $132UT $33.11
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.