How much rates vary
Facilitymedian $162 · 10th to 90th $50 to $295Professionalmedian $43 · 10th to 90th $30 to $62
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 $27.54 Median $34.67 Typical High $50.12 | Facility | None | $27.54 | $34.67 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $27.54 Typical High $45.71 | Professional | None (both parts) | $27.54 | $27.54 | $45.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $7.94 Typical High $13.18 | Professional | 26 · Professional part | $7.94 | $7.94 | $13.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $19.50 Typical High $32.36 | Professional | TC · Technical part | $19.50 | $19.50 | $32.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $47.86 | Professional | None (both parts) | $30.90 | $30.90 | $47.86 |
BCBS South Carolina Setting Facility Modifier None Typical Low $93.33 Median $169.82 Typical High $295.12 | Facility | None | $93.33 | $169.82 | $295.12 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | TC · Technical part | $66.07 | $66.07 | $66.07 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $30.90 Median $42.66 Typical High $66.07 | Professional | None (both parts) | $30.90 | $42.66 | $66.07 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $19.95 Typical High $24.55 | Professional | 26 · Professional part | $9.12 | $19.95 | $24.55 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $24.55 Typical High $39.81 | Professional | TC · Technical part | $21.88 | $24.55 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $234.42 Typical High $467.74 | Facility | None | $144.54 | $234.42 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $35.48 Typical High $63.10 | Professional | None (both parts) | $30.90 | $35.48 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $11.22 Typical High $19.95 | Professional | 26 · Professional part | $9.33 | $11.22 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $23.99 Typical High $42.66 | Professional | TC · Technical part | $20.89 | $23.99 | $42.66 |
Medcost Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
Medcost Setting Facility Modifier None Typical Low $27.54 Median $37.15 Typical High $162.18 | Facility | None | $27.54 | $37.15 | $162.18 |
Medcost Setting Professional Modifier None (both parts) Typical Low $38.02 Median $56.23 Typical High $61.66 | Professional | None (both parts) | $38.02 | $56.23 | $61.66 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.98 Typical High $24.55 | Professional | 26 · Professional part | $14.13 | $16.98 | $24.55 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $36.31 Typical High $41.69 | Professional | TC · Technical part | $28.18 | $36.31 | $41.69 |
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 $28.18 Median $38.02 Typical High $63.10 | Professional | None (both parts) | $28.18 | $38.02 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.48 Typical High $20.89 | Professional | 26 · Professional part | $9.12 | $11.48 | $20.89 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $25.70 Typical High $44.67 | Professional | TC · Technical part | $18.62 | $25.70 | $44.67 |
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 $13.80 Median $13.80 Typical High $14.79 | Professional | 52 · Reduced service | $13.80 | $13.80 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.50 Typical High $5.89 | Professional | 53 · Discontinued | $5.50 | $5.50 | $5.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.88 Median $21.88 Typical High $23.44 | Professional | FX · Film X-ray | $21.88 | $21.88 | $23.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $21.38 Median $28.18 Typical High $30.90 | Professional | 51 · Multiple procedures | $21.38 | $28.18 | $30.90 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.51 Median $11.22 Typical High $12.30 | Professional | 80 · Assistant surgeon | $8.51 | $11.22 | $12.30 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.89 Median $7.76 Typical High $8.71 | Professional | 81 · Minimal assistant surgeon | $5.89 | $7.76 | $8.71 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.89 Median $7.76 Typical High $8.71 | Professional | 82 · Assistant surgeon, no resident | $5.89 | $7.76 | $8.71 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.89 Median $7.76 Typical High $8.71 | Professional | AS · PA/NP assist | $5.89 | $7.76 | $8.71 |
Where South Carolina sits
The same service costs 3.5 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· 20th of 51
$42.66
AK $95.50FL $26.92
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.