How much rates vary
Facilitymedian $1,230 · 10th to 90th $288 to $2,291Professionalmedian $219 · 10th to 90th $89 to $631
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 $234.42 Median $288.40 Typical High $2,570.40 | Facility | None | $234.42 | $288.40 | $2,570.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $562.34 | Professional | None (both parts) | $234.42 | $234.42 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $85.11 Typical High $154.88 | Professional | 26 · Professional part | $79.43 | $85.11 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $389.05 | Professional | TC · Technical part | $147.91 | $147.91 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $199.53 Median $302.00 Typical High $331.13 | Professional | None (both parts) | $199.53 | $302.00 | $331.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $72.44 Typical High $123.03 | Professional | 26 · Professional part | $66.07 | $72.44 | $123.03 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $158.49 Typical High $177.83 | Professional | TC · Technical part | $102.33 | $158.49 | $177.83 |
BCBS South Carolina Setting Facility Modifier None Typical Low $645.65 Median $1,380.38 Typical High $2,290.87 | Facility | None | $645.65 | $1,380.38 | $2,290.87 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | TC · Technical part | $676.08 | $676.08 | $676.08 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $177.83 Median $457.09 Typical High $630.96 | Professional | None (both parts) | $177.83 | $457.09 | $630.96 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $181.97 Typical High $229.09 | Professional | 26 · Professional part | $66.07 | $181.97 | $229.09 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $281.84 Typical High $426.58 | Professional | TC · Technical part | $112.20 | $281.84 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $758.58 Typical High $1,380.38 | Facility | None | $478.63 | $758.58 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $501.19 Typical High $758.58 | Professional | None (both parts) | $245.47 | $501.19 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $87.10 Typical High $162.18 | Professional | 26 · Professional part | $74.13 | $87.10 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $426.58 Typical High $588.84 | Professional | TC · Technical part | $151.36 | $426.58 | $588.84 |
Medcost Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
Medcost Setting Facility Modifier None Typical Low $186.21 Median $316.23 Typical High $426.58 | Facility | None | $186.21 | $316.23 | $426.58 |
Medcost Setting Professional Modifier None (both parts) Typical Low $223.87 Median $741.31 Typical High $870.96 | Professional | None (both parts) | $223.87 | $741.31 | $870.96 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $134.90 Typical High $229.09 | Professional | 26 · Professional part | $114.82 | $134.90 | $229.09 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $478.63 Typical High $512.86 | Professional | TC · Technical part | $208.93 | $478.63 | $512.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $75.86 Median $158.49 Typical High $269.15 | Professional | None (both parts) | $75.86 | $158.49 | $269.15 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,202.26 Typical High $1,584.89 | Facility | None | $1,000.00 | $1,202.26 | $1,584.89 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $371.54 Typical High $812.83 | Professional | None (both parts) | $204.17 | $371.54 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $87.10 Typical High $154.88 | Professional | 26 · Professional part | $69.18 | $87.10 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $239.88 Typical High $691.83 | Professional | TC · Technical part | $131.83 | $239.88 | $691.83 |
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 $97.72 Median $117.49 Typical High $186.21 | Professional | 52 · Reduced service | $97.72 | $117.49 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $46.77 Typical High $74.13 | Professional | 53 · Discontinued | $39.81 | $46.77 | $74.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $186.21 Median $186.21 Typical High $269.15 | Professional | FX · Film X-ray | $186.21 | $186.21 | $269.15 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $141.25 Median $371.54 Typical High $426.58 | Professional | 51 · Multiple procedures | $141.25 | $371.54 | $426.58 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $56.23 Median $147.91 Typical High $173.78 | Professional | 80 · Assistant surgeon | $56.23 | $147.91 | $173.78 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $38.90 Median $104.71 Typical High $120.23 | Professional | 81 · Minimal assistant surgeon | $38.90 | $104.71 | $120.23 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $38.90 Median $104.71 Typical High $120.23 | Professional | 82 · Assistant surgeon, no resident | $38.90 | $104.71 | $120.23 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $38.90 Median $104.71 Typical High $120.23 | Professional | AS · PA/NP assist | $38.90 | $104.71 | $120.23 |
Where South Carolina sits
The same service costs 6.5 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· 44th of 51
$234
AK $794UT $123
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.