How much rates vary
Facilitymedian $1,479 · 10th to 90th $575 to $2,754Professionalmedian $447 · 10th to 90th $129 to $692
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 $457.09 Median $1,949.84 Typical High $3,311.31 | Facility | None | $457.09 | $1,949.84 | $3,311.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $457.09 Typical High $524.81 | Professional | None (both parts) | $389.05 | $457.09 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $100.00 Typical High $125.89 | Professional | 26 · Professional part | $85.11 | $100.00 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $354.81 Typical High $371.54 | Professional | TC · Technical part | $302.00 | $354.81 | $371.54 |
BCBS South Carolina Setting Facility Modifier None Typical Low $776.25 Median $1,479.11 Typical High $2,570.40 | Facility | None | $776.25 | $1,479.11 | $2,570.40 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | TC · Technical part | $616.60 | $616.60 | $616.60 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $346.74 Median $467.74 Typical High $660.69 | Professional | None (both parts) | $346.74 | $467.74 | $660.69 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $77.62 Typical High $181.97 | Professional | 26 · Professional part | $70.79 | $77.62 | $181.97 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $316.23 Typical High $512.86 | Professional | TC · Technical part | $269.15 | $316.23 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,819.70 Typical High $3,981.07 | Facility | None | $1,148.15 | $1,819.70 | $3,981.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $616.60 Typical High $1,023.29 | Professional | None (both parts) | $467.74 | $616.60 | $1,023.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $95.50 Typical High $177.83 | Professional | 26 · Professional part | $79.43 | $95.50 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $537.03 Typical High $794.33 | Professional | TC · Technical part | $363.08 | $537.03 | $794.33 |
Medcost Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None | $1,000.00 | $1,000.00 | $1,000.00 |
Medcost Setting Facility Modifier None Typical Low $446.68 Median $501.19 Typical High $758.58 | Facility | None | $446.68 | $501.19 | $758.58 |
Medcost Setting Professional Modifier None (both parts) Typical Low $436.52 Median $707.95 Typical High $933.25 | Professional | None (both parts) | $436.52 | $707.95 | $933.25 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $144.54 Typical High $199.53 | Professional | 26 · Professional part | $112.20 | $144.54 | $199.53 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $562.34 Typical High $870.96 | Professional | TC · Technical part | $501.19 | $562.34 | $870.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $114.82 Median $354.81 Typical High $588.84 | Professional | None (both parts) | $114.82 | $354.81 | $588.84 |
United Setting Facility Modifier None Typical Low $3,311.31 Median $3,981.07 Typical High $5,248.07 | Facility | None | $3,311.31 | $3,981.07 | $5,248.07 |
United Setting Professional Modifier None (both parts) Typical Low $407.38 Median $588.84 Typical High $1,000.00 | Professional | None (both parts) | $407.38 | $588.84 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $97.72 Typical High $177.83 | Professional | 26 · Professional part | $77.62 | $97.72 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $512.86 Typical High $870.96 | Professional | TC · Technical part | $323.59 | $512.86 | $870.96 |
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 $194.98 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $194.98 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $77.62 | $91.20 | $91.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $363.08 Typical High $363.08 | Professional | FX · Film X-ray | $338.84 | $363.08 | $363.08 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $275.42 Median $407.38 Typical High $501.19 | Professional | 51 · Multiple procedures | $275.42 | $407.38 | $501.19 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $109.65 Median $162.18 Typical High $199.53 | Professional | 80 · Assistant surgeon | $109.65 | $162.18 | $199.53 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $77.62 Median $114.82 Typical High $138.04 | Professional | 81 · Minimal assistant surgeon | $77.62 | $114.82 | $138.04 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $77.62 Median $114.82 Typical High $138.04 | Professional | 82 · Assistant surgeon, no resident | $77.62 | $114.82 | $138.04 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $77.62 Median $114.82 Typical High $138.04 | Professional | AS · PA/NP assist | $77.62 | $114.82 | $138.04 |
Where South Carolina sits
The same service costs 5.5 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· 40th of 51
$457
WY $1,514UT $275
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.