How much rates vary
Facilitymedian $178 · 10th to 90th $81 to $302Professionalmedian $42 · 10th to 90th $32 to $65
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 $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $33.11 | Professional | None (both parts) | $30.90 | $30.90 | $33.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $6.92 Typical High $7.24 | Professional | 26 · Professional part | $6.92 | $6.92 | $7.24 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $25.70 | Professional | TC · Technical part | $23.99 | $23.99 | $25.70 |
BCBS South Carolina Setting Facility Modifier None Typical Low $91.20 Median $169.82 Typical High $295.12 | Facility | None | $91.20 | $169.82 | $295.12 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | TC · Technical part | $64.57 | $64.57 | $64.57 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $34.67 Median $42.66 Typical High $60.26 | Professional | None (both parts) | $34.67 | $42.66 | $60.26 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.33 Typical High $19.50 | Professional | 26 · Professional part | $7.76 | $9.33 | $19.50 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $27.54 Typical High $48.98 | Professional | TC · Technical part | $25.12 | $27.54 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $234.42 Typical High $467.74 | Facility | None | $177.83 | $234.42 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $38.90 Typical High $75.86 | Professional | None (both parts) | $33.11 | $38.90 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.77 Typical High $17.78 | Professional | 26 · Professional part | $7.94 | $9.77 | $17.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $28.84 Typical High $56.23 | Professional | TC · Technical part | $24.55 | $28.84 | $56.23 |
Medcost Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
Medcost Setting Facility Modifier None Typical Low $30.90 Median $33.88 Typical High $100.00 | Facility | None | $30.90 | $33.88 | $100.00 |
Medcost Setting Professional Modifier None (both parts) Typical Low $42.66 Median $53.70 Typical High $70.79 | Professional | None (both parts) | $42.66 | $53.70 | $70.79 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $15.14 Typical High $21.88 | Professional | 26 · Professional part | $12.59 | $15.14 | $21.88 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $40.74 Typical High $51.29 | Professional | TC · Technical part | $36.31 | $40.74 | $51.29 |
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 $31.62 Median $40.74 Typical High $70.79 | Professional | None (both parts) | $31.62 | $40.74 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.77 Typical High $17.38 | Professional | 26 · Professional part | $7.94 | $9.77 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $30.20 Typical High $53.70 | Professional | TC · Technical part | $23.44 | $30.20 | $53.70 |
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 $15.14 Median $15.14 Typical High $16.60 | Professional | 52 · Reduced service | $15.14 | $15.14 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.17 Typical High $6.61 | Professional | 53 · Discontinued | $6.17 | $6.17 | $6.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $24.55 Median $24.55 Typical High $26.30 | Professional | FX · Film X-ray | $24.55 | $24.55 | $26.30 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $24.55 Median $26.92 Typical High $34.67 | Professional | 51 · Multiple procedures | $24.55 | $26.92 | $34.67 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $9.77 Median $10.72 Typical High $14.13 | Professional | 80 · Assistant surgeon | $9.77 | $10.72 | $14.13 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.92 Median $7.59 Typical High $9.77 | Professional | 81 · Minimal assistant surgeon | $6.92 | $7.59 | $9.77 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.92 Median $7.59 Typical High $9.77 | Professional | 82 · Assistant surgeon, no resident | $6.92 | $7.59 | $9.77 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.92 Median $7.59 Typical High $9.77 | Professional | AS · PA/NP assist | $6.92 | $7.59 | $9.77 |
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· 26th of 51
$43.65
AK $110FL $29.51
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.