How much rates vary
Facilitymedian $1,820 · 10th to 90th $562 to $3,236Professionalmedian $355 · 10th to 90th $132 to $1,047
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 $389.05 Median $478.63 Typical High $2,570.40 | Facility | None | $389.05 | $478.63 | $2,570.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $588.84 | Professional | None (both parts) | $389.05 | $389.05 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $131.83 Typical High $173.78 | Professional | 26 · Professional part | $109.65 | $131.83 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $416.87 | Professional | TC · Technical part | $263.03 | $263.03 | $416.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $147.91 Median $331.13 Typical High $549.54 | Professional | None (both parts) | $147.91 | $331.13 | $549.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $102.33 Typical High $190.55 | Professional | 26 · Professional part | $83.18 | $102.33 | $190.55 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $354.81 | Professional | TC · Technical part | $275.42 | $275.42 | $354.81 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,000.00 Median $2,041.74 Typical High $3,235.94 | Facility | None | $1,000.00 | $2,041.74 | $3,235.94 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $851.14 Median $1,122.02 Typical High $1,122.02 | Facility | TC · Technical part | $851.14 | $1,122.02 | $1,122.02 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $302.00 Median $660.69 Typical High $1,047.13 | Professional | None (both parts) | $302.00 | $660.69 | $1,047.13 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $263.03 Typical High $338.84 | Professional | 26 · Professional part | $102.33 | $263.03 | $338.84 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $398.11 Typical High $724.44 | Professional | TC · Technical part | $194.98 | $398.11 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $1,318.26 Typical High $2,041.74 | Facility | None | $831.76 | $1,318.26 | $2,041.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $851.14 Typical High $1,318.26 | Professional | None (both parts) | $398.11 | $851.14 | $1,318.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $141.25 Typical High $257.04 | Professional | 26 · Professional part | $117.49 | $141.25 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $741.31 Typical High $1,122.02 | Professional | TC · Technical part | $269.15 | $741.31 | $1,122.02 |
Medcost Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
Medcost Setting Facility Modifier None Typical Low $302.00 Median $524.81 Typical High $630.96 | Facility | None | $302.00 | $524.81 | $630.96 |
Medcost Setting Professional Modifier None (both parts) Typical Low $380.19 Median $1,047.13 Typical High $1,659.59 | Professional | None (both parts) | $380.19 | $1,047.13 | $1,659.59 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $213.80 Typical High $309.03 | Professional | 26 · Professional part | $181.97 | $213.80 | $309.03 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $741.31 Typical High $812.83 | Professional | TC · Technical part | $363.08 | $741.31 | $812.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $114.82 Median $245.47 Typical High $467.74 | Professional | None (both parts) | $114.82 | $245.47 | $467.74 |
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 $346.74 Median $616.60 Typical High $1,445.44 | Professional | None (both parts) | $346.74 | $616.60 | $1,445.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $138.04 Typical High $239.88 | Professional | 26 · Professional part | $107.15 | $138.04 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $407.38 Typical High $1,230.27 | Professional | TC · Technical part | $234.42 | $407.38 | $1,230.27 |
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 $165.96 Median $194.98 Typical High $213.80 | Professional | 52 · Reduced service | $165.96 | $194.98 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $79.43 Typical High $85.11 | Professional | 53 · Discontinued | $66.07 | $79.43 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $316.23 Median $316.23 Typical High $338.84 | Professional | FX · Film X-ray | $316.23 | $316.23 | $338.84 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $234.42 Median $524.81 Typical High $831.76 | Professional | 51 · Multiple procedures | $234.42 | $524.81 | $831.76 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $93.33 Median $208.93 Typical High $338.84 | Professional | 80 · Assistant surgeon | $93.33 | $208.93 | $338.84 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $66.07 Median $144.54 Typical High $234.42 | Professional | 81 · Minimal assistant surgeon | $66.07 | $144.54 | $234.42 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $66.07 Median $144.54 Typical High $234.42 | Professional | 82 · Assistant surgeon, no resident | $66.07 | $144.54 | $234.42 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $66.07 Median $144.54 Typical High $234.42 | Professional | AS · PA/NP assist | $66.07 | $144.54 | $234.42 |
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· 45th of 51
$380
AK $1,318UT $204
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.