How much rates vary
Facilitymedian $141 · 10th to 90th $56 to $646Professionalmedian $38 · 10th to 90th $30 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 $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $31.62 Typical High $33.11 | Professional | None (both parts) | $31.62 | $31.62 | $33.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $6.61 Typical High $6.92 | Professional | 26 · Professional part | $6.61 | $6.61 | $6.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $26.30 | Professional | TC · Technical part | $25.12 | $25.12 | $26.30 |
BCBS South Carolina Setting Facility Modifier None Typical Low $58.88 Median $117.49 Typical High $229.09 | Facility | None | $58.88 | $117.49 | $229.09 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | TC · Technical part | $40.74 | $40.74 | $40.74 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $29.51 Median $30.20 Typical High $47.86 | Professional | None (both parts) | $29.51 | $30.20 | $47.86 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.33 Typical High $10.96 | Professional | 26 · Professional part | $7.76 | $9.33 | $10.96 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $32.36 Typical High $34.67 | Professional | TC · Technical part | $19.95 | $32.36 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $645.65 Typical High $1,288.25 | Facility | None | $199.53 | $645.65 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $36.31 Typical High $69.18 | Professional | None (both parts) | $28.18 | $36.31 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.33 Typical High $16.22 | Professional | 26 · Professional part | $7.59 | $9.33 | $16.22 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $26.30 Typical High $53.70 | Professional | TC · Technical part | $19.05 | $26.30 | $53.70 |
Medcost Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
Medcost Setting Facility Modifier None Typical Low $22.91 Median $35.48 Typical High $107.15 | Facility | None | $22.91 | $35.48 | $107.15 |
Medcost Setting Professional Modifier None (both parts) Typical Low $38.90 Median $39.81 Typical High $57.54 | Professional | None (both parts) | $38.90 | $39.81 | $57.54 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $14.13 Typical High $17.78 | Professional | 26 · Professional part | $11.22 | $14.13 | $17.78 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $34.67 Typical High $60.26 | Professional | TC · Technical part | $30.20 | $34.67 | $60.26 |
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 $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 $28.84 Median $39.81 Typical High $75.86 | Professional | None (both parts) | $28.84 | $39.81 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.33 Typical High $16.22 | Professional | 26 · Professional part | $7.41 | $9.33 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $30.90 Typical High $60.26 | Professional | TC · Technical part | $21.38 | $30.90 | $60.26 |
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 $15.85 Median $15.85 Typical High $16.60 | Professional | 52 · Reduced service | $15.85 | $15.85 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $6.61 | Professional | 53 · Discontinued | $6.46 | $6.46 | $6.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.70 Median $25.70 Typical High $26.30 | Professional | FX · Film X-ray | $25.70 | $25.70 | $26.30 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $19.50 Median $20.42 Typical High $36.31 | Professional | 51 · Multiple procedures | $19.50 | $20.42 | $36.31 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.76 Median $8.13 Typical High $14.45 | Professional | 80 · Assistant surgeon | $7.76 | $8.13 | $14.45 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.37 Median $5.75 Typical High $10.23 | Professional | 81 · Minimal assistant surgeon | $5.37 | $5.75 | $10.23 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.37 Median $5.75 Typical High $10.23 | Professional | 82 · Assistant surgeon, no resident | $5.37 | $5.75 | $10.23 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.37 Median $5.75 Typical High $10.23 | Professional | AS · PA/NP assist | $5.37 | $5.75 | $10.23 |
Where South Carolina sits
The same service costs 3.6 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· 40th of 51
$38.90
AK $115UT $31.62
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.