How much rates vary
Facilitymedian $295 · 10th to 90th $91 to $490Professionalmedian $71 · 10th to 90th $41 to $141
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 $50.12 Median $50.12 Typical High $93.33 | Facility | None | $50.12 | $50.12 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $87.10 | Professional | None (both parts) | $50.12 | $50.12 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $20.42 | Professional | 26 · Professional part | $12.59 | $12.59 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $38.02 Typical High $64.57 | Professional | TC · Technical part | $38.02 | $38.02 | $64.57 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $69.18 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $69.18 | $107.15 | $107.15 |
BCBS South Carolina Setting Facility Modifier None Typical Low $165.96 Median $323.59 Typical High $489.78 | Facility | None | $165.96 | $323.59 | $489.78 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | TC · Technical part | $169.82 | $169.82 | $169.82 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $57.54 Median $77.62 Typical High $154.88 | Professional | None (both parts) | $57.54 | $77.62 | $154.88 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $32.36 Typical High $40.74 | Professional | 26 · Professional part | $13.80 | $32.36 | $40.74 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $50.12 Typical High $117.49 | Professional | TC · Technical part | $43.65 | $50.12 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $288.40 Typical High $562.34 | Facility | None | $281.84 | $288.40 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $69.18 Typical High $125.89 | Professional | None (both parts) | $61.66 | $69.18 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $19.50 Typical High $34.67 | Professional | 26 · Professional part | $16.60 | $19.50 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $50.12 Typical High $91.20 | Professional | TC · Technical part | $43.65 | $50.12 | $91.20 |
Medcost Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Medcost Setting Facility Modifier None Typical Low $50.12 Median $72.44 Typical High $275.42 | Facility | None | $50.12 | $72.44 | $275.42 |
Medcost Setting Professional Modifier None (both parts) Typical Low $69.18 Median $100.00 Typical High $123.03 | Professional | None (both parts) | $69.18 | $100.00 | $123.03 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.90 Typical High $45.71 | Professional | 26 · Professional part | $25.12 | $30.90 | $45.71 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $72.44 Typical High $93.33 | Professional | TC · Technical part | $64.57 | $72.44 | $93.33 |
Molina Setting Professional Modifier None (both parts) Typical Low $35.48 Median $63.10 Typical High $114.82 | Professional | None (both parts) | $35.48 | $63.10 | $114.82 |
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 $54.95 Median $69.18 Typical High $120.23 | Professional | None (both parts) | $54.95 | $69.18 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $18.62 Typical High $33.11 | Professional | 26 · Professional part | $14.79 | $18.62 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $51.29 Typical High $87.10 | Professional | TC · Technical part | $40.74 | $51.29 | $87.10 |
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 $25.12 Median $25.12 Typical High $26.92 | Professional | 52 · Reduced service | $25.12 | $25.12 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $10.72 | Professional | 53 · Discontinued | $10.00 | $10.00 | $10.72 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $40.74 Median $40.74 Typical High $43.65 | Professional | FX · Film X-ray | $40.74 | $40.74 | $43.65 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $43.65 Median $50.12 Typical High $61.66 | Professional | 51 · Multiple procedures | $43.65 | $50.12 | $61.66 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $17.38 Median $20.42 Typical High $24.55 | Professional | 80 · Assistant surgeon | $17.38 | $20.42 | $24.55 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.30 Median $14.13 Typical High $17.38 | Professional | 81 · Minimal assistant surgeon | $12.30 | $14.13 | $17.38 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.30 Median $14.13 Typical High $17.38 | Professional | 82 · Assistant surgeon, no resident | $12.30 | $14.13 | $17.38 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $12.30 Median $14.13 Typical High $17.38 | Professional | AS · PA/NP assist | $12.30 | $14.13 | $17.38 |
Where South Carolina sits
The same service costs 3.6 times more in Alaska than in Texas. 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· 31st of 51
$74.13
AK $182TX $50.12
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.