How much rates vary
Facilitymedian $275 · 10th to 90th $81 to $490Professionalmedian $55 · 10th to 90th $39 to $89
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 $43.65 Median $56.23 Typical High $223.87 | Facility | None | $43.65 | $56.23 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $44.67 Typical High $75.86 | Professional | None (both parts) | $43.65 | $44.67 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.75 Typical High $20.89 | Professional | 26 · Professional part | $11.22 | $11.75 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $33.11 Typical High $54.95 | Professional | TC · Technical part | $32.36 | $33.11 | $54.95 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $41.69 Median $56.23 Typical High $93.33 | Professional | None (both parts) | $41.69 | $56.23 | $93.33 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $13.80 Typical High $23.44 | Professional | 26 · Professional part | $10.00 | $13.80 | $23.44 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $46.77 Typical High $70.79 | Professional | TC · Technical part | $38.90 | $46.77 | $70.79 |
BCBS South Carolina Setting Facility Modifier None Typical Low $144.54 Median $295.12 Typical High $489.78 | Facility | None | $144.54 | $295.12 | $489.78 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | TC · Technical part | $102.33 | $102.33 | $102.33 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $51.29 Median $64.57 Typical High $100.00 | Professional | None (both parts) | $51.29 | $64.57 | $100.00 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $28.18 Typical High $36.31 | Professional | 26 · Professional part | $12.59 | $28.18 | $36.31 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $38.90 Typical High $53.70 | Professional | TC · Technical part | $32.36 | $38.90 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $281.84 Typical High $562.34 | Facility | None | $251.19 | $281.84 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $52.48 Typical High $102.33 | Professional | None (both parts) | $46.77 | $52.48 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $17.38 Typical High $30.20 | Professional | 26 · Professional part | $13.80 | $17.38 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $35.48 Typical High $72.44 | Professional | TC · Technical part | $33.11 | $35.48 | $72.44 |
Medcost Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Medcost Setting Facility Modifier None Typical Low $43.65 Median $58.88 Typical High $275.42 | Facility | None | $43.65 | $58.88 | $275.42 |
Medcost Setting Professional Modifier None (both parts) Typical Low $60.26 Median $79.43 Typical High $100.00 | Professional | None (both parts) | $60.26 | $79.43 | $100.00 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.70 Typical High $37.15 | Professional | 26 · Professional part | $21.38 | $25.70 | $37.15 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $53.70 Typical High $69.18 | Professional | TC · Technical part | $46.77 | $53.70 | $69.18 |
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 $436.52 Median $537.03 Typical High $691.83 | Facility | None | $436.52 | $537.03 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $57.54 Typical High $100.00 | Professional | None (both parts) | $44.67 | $57.54 | $100.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $16.98 Typical High $28.84 | Professional | 26 · Professional part | $12.88 | $16.98 | $28.84 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $40.74 Typical High $74.13 | Professional | TC · Technical part | $30.20 | $40.74 | $74.13 |
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 $21.88 Median $21.88 Typical High $23.44 | Professional | 52 · Reduced service | $21.88 | $21.88 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $9.33 | Professional | 53 · Discontinued | $8.71 | $8.71 | $9.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $34.67 Median $34.67 Typical High $37.15 | Professional | FX · Film X-ray | $34.67 | $34.67 | $37.15 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $34.67 Median $39.81 Typical High $50.12 | Professional | 51 · Multiple procedures | $34.67 | $39.81 | $50.12 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $13.80 Median $15.85 Typical High $19.95 | Professional | 80 · Assistant surgeon | $13.80 | $15.85 | $19.95 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.55 Median $10.96 Typical High $14.13 | Professional | 81 · Minimal assistant surgeon | $9.55 | $10.96 | $14.13 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.55 Median $10.96 Typical High $14.13 | Professional | 82 · Assistant surgeon, no resident | $9.55 | $10.96 | $14.13 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $9.55 Median $10.96 Typical High $14.13 | Professional | AS · PA/NP assist | $9.55 | $10.96 | $14.13 |
Where South Carolina sits
The same service costs 4.8 times more in Alaska 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· 33rd of 51
$57.54
AK $158UT $33.11
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.