How much rates vary
Facilitymedian $1,230 · 10th to 90th $457 to $2,188Professionalmedian $275 · 10th to 90th $155 to $631
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 $275.42 Median $1,862.09 Typical High $3,311.31 | Facility | None | $275.42 | $1,862.09 | $3,311.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $524.81 | Professional | None (both parts) | $275.42 | $275.42 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $77.62 Typical High $141.25 | Professional | 26 · Professional part | $66.07 | $77.62 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $199.53 Typical High $338.84 | Professional | TC · Technical part | $186.21 | $199.53 | $338.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $169.82 | $169.82 | $169.82 |
BCBS South Carolina Setting Facility Modifier None Typical Low $676.08 Median $1,318.26 Typical High $2,137.96 | Facility | None | $676.08 | $1,318.26 | $2,137.96 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | TC · Technical part | $676.08 | $676.08 | $676.08 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $208.93 Median $457.09 Typical High $630.96 | Professional | None (both parts) | $208.93 | $457.09 | $630.96 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $158.49 Typical High $204.17 | Professional | 26 · Professional part | $60.26 | $158.49 | $204.17 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $302.00 Typical High $446.68 | Professional | TC · Technical part | $151.36 | $302.00 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,000.00 Typical High $1,230.27 | Facility | None | $645.65 | $1,000.00 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $489.78 Typical High $707.95 | Professional | None (both parts) | $309.03 | $489.78 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $75.86 Typical High $147.91 | Professional | 26 · Professional part | $61.66 | $75.86 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $436.52 Typical High $588.84 | Professional | TC · Technical part | $204.17 | $436.52 | $588.84 |
Medcost Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Medcost Setting Facility Modifier None Typical Low $275.42 Median $389.05 Typical High $812.83 | Facility | None | $275.42 | $389.05 | $812.83 |
Medcost Setting Professional Modifier None (both parts) Typical Low $263.03 Median $758.58 Typical High $933.25 | Professional | None (both parts) | $263.03 | $758.58 | $933.25 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $112.20 Typical High $234.42 | Professional | 26 · Professional part | $95.50 | $112.20 | $234.42 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $489.78 Typical High $616.60 | Professional | TC · Technical part | $281.84 | $489.78 | $616.60 |
Molina Setting Professional Modifier None (both parts) Typical Low $51.29 Median $218.78 Typical High $338.84 | Professional | None (both parts) | $51.29 | $218.78 | $338.84 |
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 $245.47 Median $426.58 Typical High $794.33 | Professional | None (both parts) | $245.47 | $426.58 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $75.86 Typical High $138.04 | Professional | 26 · Professional part | $61.66 | $75.86 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $323.59 Typical High $660.69 | Professional | TC · Technical part | $177.83 | $323.59 | $660.69 |
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 $117.49 Median $138.04 Typical High $199.53 | Professional | 52 · Reduced service | $117.49 | $138.04 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $54.95 Typical High $79.43 | Professional | 53 · Discontinued | $46.77 | $54.95 | $79.43 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $223.87 Typical High $302.00 | Professional | FX · Film X-ray | $223.87 | $223.87 | $302.00 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $165.96 Median $380.19 Typical High $467.74 | Professional | 51 · Multiple procedures | $165.96 | $380.19 | $467.74 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $66.07 Median $154.88 Typical High $186.21 | Professional | 80 · Assistant surgeon | $66.07 | $154.88 | $186.21 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $46.77 Median $107.15 Typical High $128.82 | Professional | 81 · Minimal assistant surgeon | $46.77 | $107.15 | $128.82 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $46.77 Median $107.15 Typical High $128.82 | Professional | 82 · Assistant surgeon, no resident | $46.77 | $107.15 | $128.82 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $46.77 Median $107.15 Typical High $128.82 | Professional | AS · PA/NP assist | $46.77 | $107.15 | $128.82 |
Where South Carolina sits
The same service costs 5.8 times more in Wyoming 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· 45th of 51
$288
WY $912UT $158
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.