How much rates vary
Facilitymedian $1,738 · 10th to 90th $741 to $2,630Professionalmedian $537 · 10th to 90th $182 to $1,549
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 $630.96 Median $1,949.84 Typical High $3,311.31 | Facility | None | $630.96 | $1,949.84 | $3,311.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $630.96 Typical High $630.96 | Professional | None (both parts) | $446.68 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $190.55 Typical High $190.55 | Professional | 26 · Professional part | $125.89 | $190.55 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $575.44 Typical High $575.44 | Professional | TC · Technical part | $338.84 | $575.44 | $575.44 |
BCBS South Carolina Setting Facility Modifier None Typical Low $831.76 Median $1,698.24 Typical High $2,344.23 | Facility | None | $831.76 | $1,698.24 | $2,344.23 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | TC · Technical part | $1,071.52 | $1,071.52 | $1,071.52 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $537.03 Median $537.03 Typical High $691.83 | Professional | None (both parts) | $537.03 | $537.03 | $691.83 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $199.53 Typical High $288.40 | Professional | 26 · Professional part | $147.91 | $199.53 | $288.40 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $389.05 Typical High $501.19 | Professional | TC · Technical part | $389.05 | $389.05 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $2,754.23 Median $4,677.35 Typical High $7,413.10 | Facility | None | $2,754.23 | $4,677.35 | $7,413.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,380.38 Typical High $2,884.03 | Professional | None (both parts) | $794.33 | $1,380.38 | $2,884.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $173.78 Typical High $316.23 | Professional | 26 · Professional part | $134.90 | $173.78 | $316.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $1,202.26 Typical High $2,290.87 | Professional | TC · Technical part | $676.08 | $1,202.26 | $2,290.87 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | 26 · Professional part | $363.08 | $363.08 | $363.08 |
Medcost Setting Facility Modifier None Typical Low $398.11 Median $630.96 Typical High $812.83 | Facility | None | $398.11 | $630.96 | $812.83 |
Medcost Setting Professional Modifier None (both parts) Typical Low $537.03 Median $831.76 Typical High $2,089.30 | Professional | None (both parts) | $537.03 | $831.76 | $2,089.30 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $245.47 Typical High $363.08 | Professional | 26 · Professional part | $213.80 | $245.47 | $363.08 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $501.19 Typical High $1,698.24 | Professional | TC · Technical part | $457.09 | $501.19 | $1,698.24 |
Molina Setting Professional Modifier None (both parts) Typical Low $165.96 Median $208.93 Typical High $316.23 | Professional | None (both parts) | $165.96 | $208.93 | $316.23 |
United Setting Facility Modifier None Typical Low $2,290.87 Median $2,754.23 Typical High $3,630.78 | Facility | None | $2,290.87 | $2,754.23 | $3,630.78 |
United Setting Professional Modifier None (both parts) Typical Low $363.08 Median $645.65 Typical High $1,230.27 | Professional | None (both parts) | $363.08 | $645.65 | $1,230.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $177.83 Typical High $331.13 | Professional | 26 · Professional part | $138.04 | $177.83 | $331.13 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $446.68 Typical High $933.25 | Professional | TC · Technical part | $223.87 | $446.68 | $933.25 |
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 $218.78 Median $316.23 Typical High $316.23 | Professional | 52 · Reduced service | $218.78 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $128.82 Typical High $128.82 | Professional | 53 · Discontinued | $89.13 | $128.82 | $128.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $407.38 Median $512.86 Typical High $512.86 | Professional | FX · Film X-ray | $407.38 | $512.86 | $512.86 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $269.15 Median $524.81 Typical High $1,047.13 | Professional | 51 · Multiple procedures | $269.15 | $524.81 | $1,047.13 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $107.15 Median $190.55 Typical High $416.87 | Professional | 80 · Assistant surgeon | $107.15 | $190.55 | $416.87 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $74.13 Median $131.83 Typical High $288.40 | Professional | 81 · Minimal assistant surgeon | $74.13 | $131.83 | $288.40 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $74.13 Median $131.83 Typical High $288.40 | Professional | 82 · Assistant surgeon, no resident | $74.13 | $131.83 | $288.40 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $74.13 Median $131.83 Typical High $288.40 | Professional | AS · PA/NP assist | $74.13 | $131.83 | $288.40 |
Where South Carolina sits
The same service costs 12.3 times more in Wyoming than in Hawaii. 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· 43rd of 51
$537
WY $3,467HI $282
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.