How much rates vary
Facilitymedian $234 · 10th to 90th $98 to $309Professionalmedian $50 · 10th to 90th $32 to $120
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 $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $61.66 | Professional | None (both parts) | $42.66 | $42.66 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $9.77 Typical High $14.79 | Professional | 26 · Professional part | $9.77 | $9.77 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.11 Typical High $45.71 | Professional | TC · Technical part | $33.11 | $33.11 | $45.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 26 · Professional part | $20.42 | $20.42 | $20.42 |
BCBS South Carolina Setting Facility Modifier None Typical Low $112.20 Median $223.87 Typical High $295.12 | Facility | None | $112.20 | $223.87 | $295.12 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | TC · Technical part | $128.82 | $128.82 | $128.82 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $26.92 Median $53.70 Typical High $120.23 | Professional | None (both parts) | $26.92 | $53.70 | $120.23 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $26.92 Typical High $26.92 | Professional | 26 · Professional part | $10.96 | $26.92 | $26.92 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $91.20 Typical High $91.20 | Professional | TC · Technical part | $38.90 | $91.20 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $257.04 Typical High $467.74 | Facility | None | $234.42 | $257.04 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $51.29 Typical High $93.33 | Professional | None (both parts) | $41.69 | $51.29 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.80 Typical High $24.55 | Professional | 26 · Professional part | $10.96 | $13.80 | $24.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $37.15 Typical High $69.18 | Professional | TC · Technical part | $30.90 | $37.15 | $69.18 |
Medcost Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
Medcost Setting Facility Modifier None Typical Low $40.74 Median $57.54 Typical High $162.18 | Facility | None | $40.74 | $57.54 | $162.18 |
Medcost Setting Professional Modifier None (both parts) Typical Low $58.88 Median $70.79 Typical High $91.20 | Professional | None (both parts) | $58.88 | $70.79 | $91.20 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $20.89 Typical High $29.51 | Professional | 26 · Professional part | $17.38 | $20.89 | $29.51 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $50.12 Typical High $79.43 | Professional | TC · Technical part | $44.67 | $50.12 | $79.43 |
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 $40.74 Median $56.23 Typical High $100.00 | Professional | None (both parts) | $40.74 | $56.23 | $100.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.80 Typical High $25.12 | Professional | 26 · Professional part | $10.96 | $13.80 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $41.69 Typical High $75.86 | Professional | TC · Technical part | $29.51 | $41.69 | $75.86 |
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 $21.38 Median $21.38 Typical High $23.44 | Professional | 52 · Reduced service | $21.38 | $21.38 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $9.33 | Professional | 53 · Discontinued | $8.71 | $8.71 | $9.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $34.67 Median $34.67 Typical High $37.15 | Professional | FX · Film X-ray | $34.67 | $34.67 | $37.15 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $30.90 Median $34.67 Typical High $47.86 | Professional | 51 · Multiple procedures | $30.90 | $34.67 | $47.86 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $12.30 Median $14.13 Typical High $19.05 | Professional | 80 · Assistant surgeon | $12.30 | $14.13 | $19.05 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.71 Median $9.77 Typical High $13.49 | Professional | 81 · Minimal assistant surgeon | $8.71 | $9.77 | $13.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.71 Median $9.77 Typical High $13.49 | Professional | 82 · Assistant surgeon, no resident | $8.71 | $9.77 | $13.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $8.71 Median $9.77 Typical High $13.49 | Professional | AS · PA/NP assist | $8.71 | $9.77 | $13.49 |
Where South Carolina sits
The same service costs 4.5 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· 38th of 51
$53.70
AK $148UT $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.