How much rates vary
Facilitymedian $575 · 10th to 90th $437 to $1,585Professionalmedian $407 · 10th to 90th $129 to $661
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 $426.58 Median $1,949.84 Typical High $3,311.31 | Facility | None | $426.58 | $1,949.84 | $3,311.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $426.58 Typical High $446.68 | Professional | None (both parts) | $354.81 | $426.58 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $104.71 Typical High $104.71 | Professional | 26 · Professional part | $85.11 | $104.71 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $316.23 Typical High $338.84 | Professional | TC · Technical part | $269.15 | $316.23 | $338.84 |
BCBS South Carolina Setting Facility Modifier None Typical Low $457.09 Median $575.44 Typical High $1,258.93 | Facility | None | $457.09 | $575.44 | $1,258.93 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $316.23 Median $457.09 Typical High $630.96 | Professional | None (both parts) | $316.23 | $457.09 | $630.96 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $100.00 Typical High $229.09 | Professional | 26 · Professional part | $81.28 | $100.00 | $229.09 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $269.15 Typical High $478.63 | Professional | TC · Technical part | $234.42 | $269.15 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,258.93 Typical High $1,584.89 | Facility | None | $1,023.29 | $1,258.93 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $549.54 Typical High $954.99 | Professional | None (both parts) | $436.52 | $549.54 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $100.00 Typical High $177.83 | Professional | 26 · Professional part | $81.28 | $100.00 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $467.74 Typical High $707.95 | Professional | TC · Technical part | $323.59 | $467.74 | $707.95 |
Medcost Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
Medcost Setting Facility Modifier None Typical Low $426.58 Median $512.86 Typical High $954.99 | Facility | None | $426.58 | $512.86 | $954.99 |
Medcost Setting Professional Modifier None (both parts) Typical Low $407.38 Median $870.96 Typical High $891.25 | Professional | None (both parts) | $407.38 | $870.96 | $891.25 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $154.88 Typical High $208.93 | Professional | 26 · Professional part | $128.82 | $154.88 | $208.93 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $741.31 Typical High $776.25 | Professional | TC · Technical part | $446.68 | $741.31 | $776.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $117.49 Median $323.59 Typical High $537.03 | Professional | None (both parts) | $117.49 | $323.59 | $537.03 |
United Setting Professional Modifier None (both parts) Typical Low $371.54 Median $562.34 Typical High $933.25 | Professional | None (both parts) | $371.54 | $562.34 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $102.33 Typical High $181.97 | Professional | 26 · Professional part | $81.28 | $102.33 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $457.09 Typical High $794.33 | Professional | TC · Technical part | $281.84 | $457.09 | $794.33 |
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 $177.83 Median $208.93 Typical High $213.80 | Professional | 52 · Reduced service | $177.83 | $208.93 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $70.79 | $85.11 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | FX · Film X-ray | $338.84 | $338.84 | $338.84 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $251.19 Median $436.52 Typical High $467.74 | Professional | 51 · Multiple procedures | $251.19 | $436.52 | $467.74 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $102.33 Median $173.78 Typical High $186.21 | Professional | 80 · Assistant surgeon | $102.33 | $173.78 | $186.21 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $70.79 Median $123.03 Typical High $131.83 | Professional | 81 · Minimal assistant surgeon | $70.79 | $123.03 | $131.83 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $70.79 Median $123.03 Typical High $131.83 | Professional | 82 · Assistant surgeon, no resident | $70.79 | $123.03 | $131.83 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $70.79 Median $123.03 Typical High $131.83 | Professional | AS · PA/NP assist | $70.79 | $123.03 | $131.83 |
Where South Carolina sits
The same service costs 5.4 times more in Wyoming 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· 44th of 51
$417
WY $1,380TX $257
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.