How much rates vary
Facilitymedian $1,549 · 10th to 90th $575 to $2,570Professionalmedian $324 · 10th to 90th $129 to $794
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 $331.13 Median $1,949.84 Typical High $3,311.31 | Facility | None | $331.13 | $1,949.84 | $3,311.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $524.81 | Professional | None (both parts) | $331.13 | $331.13 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $104.71 Typical High $147.91 | Professional | 26 · Professional part | $85.11 | $104.71 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $371.54 | Professional | TC · Technical part | $229.09 | $229.09 | $371.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $79.43 | $79.43 | $79.43 |
BCBS South Carolina Setting Facility Modifier None Typical Low $870.96 Median $1,659.59 Typical High $2,630.27 | Facility | None | $870.96 | $1,659.59 | $2,630.27 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | TC · Technical part | $851.14 | $851.14 | $851.14 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $257.04 Median $660.69 Typical High $891.25 | Professional | None (both parts) | $257.04 | $660.69 | $891.25 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $147.91 Typical High $275.42 | Professional | 26 · Professional part | $79.43 | $147.91 | $275.42 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $426.58 Typical High $645.65 | Professional | TC · Technical part | $173.78 | $426.58 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,174.90 Typical High $1,778.28 | Facility | None | $741.31 | $1,174.90 | $1,778.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $549.54 Typical High $870.96 | Professional | None (both parts) | $338.84 | $549.54 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $104.71 Typical High $194.98 | Professional | 26 · Professional part | $87.10 | $104.71 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $467.74 Typical High $707.95 | Professional | TC · Technical part | $234.42 | $467.74 | $707.95 |
Medcost Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Medcost Setting Facility Modifier None Typical Low $331.13 Median $489.78 Typical High $1,047.13 | Facility | None | $331.13 | $489.78 | $1,047.13 |
Medcost Setting Professional Modifier None (both parts) Typical Low $323.59 Median $933.25 Typical High $1,000.00 | Professional | None (both parts) | $323.59 | $933.25 | $1,000.00 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $162.18 Typical High $245.47 | Professional | 26 · Professional part | $138.04 | $162.18 | $245.47 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $549.54 Typical High $724.44 | Professional | TC · Technical part | $323.59 | $549.54 | $724.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $114.82 Median $245.47 Typical High $426.58 | Professional | None (both parts) | $114.82 | $245.47 | $426.58 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $1,778.28 Typical High $2,344.23 | Facility | None | $1,479.11 | $1,778.28 | $2,344.23 |
United Setting Professional Modifier None (both parts) Typical Low $295.12 Median $501.19 Typical High $891.25 | Professional | None (both parts) | $295.12 | $501.19 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $104.71 Typical High $186.21 | Professional | 26 · Professional part | $83.18 | $104.71 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $354.81 Typical High $758.58 | Professional | TC · Technical part | $204.17 | $354.81 | $758.58 |
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 $141.25 Median $165.96 Typical High $213.80 | Professional | 52 · Reduced service | $141.25 | $165.96 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $67.61 Typical High $85.11 | Professional | 53 · Discontinued | $56.23 | $67.61 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $269.15 Median $269.15 Typical High $323.59 | Professional | FX · Film X-ray | $269.15 | $269.15 | $323.59 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $199.53 Median $467.74 Typical High $489.78 | Professional | 51 · Multiple procedures | $199.53 | $467.74 | $489.78 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $79.43 Median $186.21 Typical High $199.53 | Professional | 80 · Assistant surgeon | $79.43 | $186.21 | $199.53 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $56.23 Median $128.82 Typical High $138.04 | Professional | 81 · Minimal assistant surgeon | $56.23 | $128.82 | $138.04 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $56.23 Median $128.82 Typical High $138.04 | Professional | 82 · Assistant surgeon, no resident | $56.23 | $128.82 | $138.04 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $56.23 Median $128.82 Typical High $138.04 | Professional | AS · PA/NP assist | $56.23 | $128.82 | $138.04 |
Where South Carolina sits
The same service costs 5.8 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· 44th of 51
$331
WY $1,096UT $191
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.