How much rates vary
Facilitymedian $437 · 10th to 90th $186 to $708Professionalmedian $107 · 10th to 90th $65 to $182
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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $102.33 | Professional | None (both parts) | $89.13 | $89.13 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $40.74 | Professional | 26 · Professional part | $34.67 | $34.67 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $61.66 | Professional | TC · Technical part | $53.70 | $53.70 | $61.66 |
BCBS Setting Facility Modifier None Typical Low $190.55 Median $416.87 Typical High $562.34 | Facility | None | $190.55 | $416.87 | $562.34 |
BCBS Setting Facility Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | TC · Technical part | $257.04 | $257.04 | $257.04 |
BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $147.91 Typical High $158.49 | Professional | None (both parts) | $104.71 | $147.91 | $158.49 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $54.95 | Professional | 26 · Professional part | $39.81 | $39.81 | $54.95 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $81.28 | Professional | TC · Technical part | $64.57 | $64.57 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $645.65 Typical High $1,288.25 | Facility | None | $426.58 | $645.65 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $114.82 Typical High $213.80 | Professional | None (both parts) | $97.72 | $114.82 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $47.86 Typical High $81.28 | Professional | 26 · Professional part | $38.02 | $47.86 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $67.61 Typical High $125.89 | Professional | TC · Technical part | $53.70 | $67.61 | $125.89 |
Medcost Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
Medcost Setting Facility Modifier None Typical Low $89.13 Median $104.71 Typical High $295.12 | Facility | None | $89.13 | $104.71 | $295.12 |
Medcost Setting Professional Modifier None (both parts) Typical Low $123.03 Median $165.96 Typical High $218.78 | Professional | None (both parts) | $123.03 | $165.96 | $218.78 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $70.79 Typical High $93.33 | Professional | 26 · Professional part | $56.23 | $70.79 | $93.33 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $109.65 Typical High $114.82 | Professional | TC · Technical part | $69.18 | $109.65 | $114.82 |
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 $85.11 Median $123.03 Typical High $213.80 | Professional | None (both parts) | $85.11 | $123.03 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $47.86 Typical High $87.10 | Professional | 26 · Professional part | $38.02 | $47.86 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $72.44 Typical High $125.89 | Professional | TC · Technical part | $46.77 | $72.44 | $125.89 |
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 $44.67 Median $44.67 Typical High $46.77 | Professional | 52 · Reduced service | $44.67 | $44.67 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $18.62 | Professional | 53 · Discontinued | $17.78 | $17.78 | $18.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $70.79 Typical High $74.13 | Professional | FX · Film X-ray | $70.79 | $70.79 | $74.13 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $63.10 Median $95.50 Typical High $109.65 | Professional | 51 · Multiple procedures | $63.10 | $95.50 | $109.65 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $25.12 Median $38.90 Typical High $43.65 | Professional | 80 · Assistant surgeon | $25.12 | $38.90 | $43.65 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $17.78 Median $26.92 Typical High $30.90 | Professional | 81 · Minimal assistant surgeon | $17.78 | $26.92 | $30.90 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $17.78 Median $26.92 Typical High $30.90 | Professional | 82 · Assistant surgeon, no resident | $17.78 | $26.92 | $30.90 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $17.78 Median $26.92 Typical High $30.90 | Professional | AS · PA/NP assist | $17.78 | $26.92 | $30.90 |
Where South Carolina sits
The same service costs 4.4 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· 36th of 51
$112
AK $324UT $74.13
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.