How much rates vary
Facilitymedian $724 · 10th to 90th $339 to $1,698Professionalmedian $105 · 10th to 90th $65 to $170
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 $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $75.86 | Professional | None (both parts) | $69.18 | $69.18 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $23.99 | Professional | 26 · Professional part | $22.39 | $22.39 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $52.48 | Professional | TC · Technical part | $47.86 | $47.86 | $52.48 |
BCBS South Carolina Setting Facility Modifier None Typical Low $416.87 Median $831.76 Typical High $1,737.80 | Facility | None | $416.87 | $831.76 | $1,737.80 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | TC · Technical part | $281.84 | $281.84 | $281.84 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $75.86 Median $112.20 Typical High $162.18 | Professional | None (both parts) | $75.86 | $112.20 | $162.18 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $36.31 Typical High $51.29 | Professional | 26 · Professional part | $24.55 | $36.31 | $51.29 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $67.61 Typical High $69.18 | Professional | TC · Technical part | $50.12 | $67.61 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $645.65 Typical High $1,288.25 | Facility | None | $338.84 | $645.65 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $95.50 Typical High $173.78 | Professional | None (both parts) | $83.18 | $95.50 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $31.62 Typical High $54.95 | Professional | 26 · Professional part | $24.55 | $31.62 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $60.26 Typical High $117.49 | Professional | TC · Technical part | $52.48 | $60.26 | $117.49 |
Medcost Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Medcost Setting Facility Modifier None Typical Low $69.18 Median $81.28 Typical High $218.78 | Facility | None | $69.18 | $81.28 | $218.78 |
Medcost Setting Professional Modifier None (both parts) Typical Low $95.50 Median $131.83 Typical High $177.83 | Professional | None (both parts) | $95.50 | $131.83 | $177.83 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $46.77 Typical High $67.61 | Professional | 26 · Professional part | $38.90 | $46.77 | $67.61 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $102.33 Typical High $117.49 | Professional | TC · Technical part | $64.57 | $102.33 | $117.49 |
Molina Setting Professional Modifier None (both parts) Typical Low $52.48 Median $102.33 Typical High $169.82 | Professional | None (both parts) | $52.48 | $102.33 | $169.82 |
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 $72.44 Median $97.72 Typical High $162.18 | Professional | None (both parts) | $72.44 | $97.72 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $30.90 Typical High $54.95 | Professional | 26 · Professional part | $24.55 | $30.90 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $66.07 Typical High $114.82 | Professional | TC · Technical part | $47.86 | $66.07 | $114.82 |
9 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 $34.67 Median $34.67 Typical High $38.02 | Professional | 52 · Reduced service | $34.67 | $34.67 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $15.14 | Professional | 53 · Discontinued | $13.80 | $13.80 | $15.14 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $56.23 Median $56.23 Typical High $60.26 | Professional | FX · Film X-ray | $56.23 | $56.23 | $60.26 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $165.96 Median $223.87 Typical High $288.40 | Professional | 50 · Both sides | $165.96 | $223.87 | $288.40 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $54.95 Median $74.13 Typical High $95.50 | Professional | 51 · Multiple procedures | $54.95 | $74.13 | $95.50 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $21.88 Median $29.51 Typical High $38.02 | Professional | 80 · Assistant surgeon | $21.88 | $29.51 | $38.02 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $15.49 Median $20.89 Typical High $26.92 | Professional | 81 · Minimal assistant surgeon | $15.49 | $20.89 | $26.92 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $15.49 Median $20.89 Typical High $26.92 | Professional | 82 · Assistant surgeon, no resident | $15.49 | $20.89 | $26.92 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $15.49 Median $20.89 Typical High $26.92 | Professional | AS · PA/NP assist | $15.49 | $20.89 | $26.92 |
Where South Carolina sits
The same service costs 3.7 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
$112
AK $251FL $67.61
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.