How much rates vary
Facilitymedian $1,820 · 10th to 90th $692 to $3,236Professionalmedian $417 · 10th to 90th $132 to $955
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 $416.87 Median $1,819.70 Typical High $3,311.31 | Facility | None | $416.87 | $1,819.70 | $3,311.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $416.87 Typical High $588.84 | Professional | None (both parts) | $398.11 | $416.87 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $104.71 Typical High $154.88 | Professional | 26 · Professional part | $85.11 | $104.71 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $316.23 Typical High $436.52 | Professional | TC · Technical part | $288.40 | $316.23 | $436.52 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $323.59 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $323.59 | $354.81 | $354.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $81.28 Typical High $147.91 | Professional | 26 · Professional part | $64.57 | $81.28 | $147.91 |
BCBS South Carolina Setting Facility Modifier None Typical Low $977.24 Median $1,995.26 Typical High $3,388.44 | Facility | None | $977.24 | $1,995.26 | $3,388.44 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $776.25 Median $1,023.29 Typical High $1,023.29 | Facility | TC · Technical part | $776.25 | $1,023.29 | $1,023.29 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $323.59 Median $616.60 Typical High $954.99 | Professional | None (both parts) | $323.59 | $616.60 | $954.99 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $97.72 Typical High $151.36 | Professional | 26 · Professional part | $81.28 | $97.72 | $151.36 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $489.78 Typical High $851.14 | Professional | TC · Technical part | $239.88 | $489.78 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,621.81 Typical High $2,951.21 | Facility | None | $1,023.29 | $1,621.81 | $2,951.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $870.96 Typical High $1,348.96 | Professional | None (both parts) | $467.74 | $870.96 | $1,348.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $102.33 Typical High $199.53 | Professional | 26 · Professional part | $83.18 | $102.33 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $794.33 Typical High $1,047.13 | Professional | TC · Technical part | $354.81 | $794.33 | $1,047.13 |
Medcost Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
Medcost Setting Facility Modifier None Typical Low $302.00 Median $537.03 Typical High $912.01 | Facility | None | $302.00 | $537.03 | $912.01 |
Medcost Setting Professional Modifier None (both parts) Typical Low $407.38 Median $870.96 Typical High $1,445.44 | Professional | None (both parts) | $407.38 | $870.96 | $1,445.44 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $151.36 Typical High $316.23 | Professional | 26 · Professional part | $128.82 | $151.36 | $316.23 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $741.31 Typical High $977.24 | Professional | TC · Technical part | $446.68 | $741.31 | $977.24 |
Molina Setting Professional Modifier None (both parts) Typical Low $114.82 Median $316.23 Typical High $537.03 | Professional | None (both parts) | $114.82 | $316.23 | $537.03 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $1,778.28 Typical High $2,344.23 | Facility | None | $1,479.11 | $1,778.28 | $2,344.23 |
United Setting Professional Modifier None (both parts) Typical Low $363.08 Median $691.83 Typical High $1,479.11 | Professional | None (both parts) | $363.08 | $691.83 | $1,479.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $102.33 Typical High $181.97 | Professional | 26 · Professional part | $81.28 | $102.33 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $537.03 Typical High $1,318.26 | Professional | TC · Technical part | $275.42 | $537.03 | $1,318.26 |
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 $177.83 Median $208.93 Typical High $213.80 | Professional | 52 · Reduced service | $177.83 | $208.93 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $70.79 | $85.11 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $338.84 | $338.84 | $338.84 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $251.19 Median $446.68 Typical High $724.44 | Professional | 51 · Multiple procedures | $251.19 | $446.68 | $724.44 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $100.00 Median $177.83 Typical High $288.40 | Professional | 80 · Assistant surgeon | $100.00 | $177.83 | $288.40 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $70.79 Median $125.89 Typical High $204.17 | Professional | 81 · Minimal assistant surgeon | $70.79 | $125.89 | $204.17 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $70.79 Median $125.89 Typical High $204.17 | Professional | 82 · Assistant surgeon, no resident | $70.79 | $125.89 | $204.17 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $70.79 Median $125.89 Typical High $204.17 | Professional | AS · PA/NP assist | $70.79 | $125.89 | $204.17 |
Where South Carolina sits
The same service costs 5.6 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· 46th of 51
$417
WY $1,380UT $245
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.