How much rates vary
Facilitymedian $182 · 10th to 90th $83 to $309Professionalmedian $45 · 10th to 90th $35 to $69
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 $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $60.26 | Professional | None (both parts) | $34.67 | $34.67 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.23 Typical High $16.60 | Professional | 26 · Professional part | $10.23 | $10.23 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $24.55 Typical High $43.65 | Professional | TC · Technical part | $24.55 | $24.55 | $43.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $44.67 Median $63.10 Typical High $74.13 | Professional | None (both parts) | $44.67 | $63.10 | $74.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $13.18 Typical High $21.88 | Professional | 26 · Professional part | $12.02 | $13.18 | $21.88 |
BCBS South Carolina Setting Facility Modifier None Typical Low $89.13 Median $169.82 Typical High $295.12 | Facility | None | $89.13 | $169.82 | $295.12 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | TC · Technical part | $69.18 | $69.18 | $69.18 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $40.74 Median $46.77 Typical High $69.18 | Professional | None (both parts) | $40.74 | $46.77 | $69.18 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $22.91 Typical High $35.48 | Professional | 26 · Professional part | $12.02 | $22.91 | $35.48 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $28.84 Typical High $45.71 | Professional | TC · Technical part | $16.60 | $28.84 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $281.84 Typical High $562.34 | Facility | None | $181.97 | $281.84 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $42.66 Typical High $81.28 | Professional | None (both parts) | $34.67 | $42.66 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.59 Typical High $21.88 | Professional | 26 · Professional part | $9.33 | $12.59 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $29.51 Typical High $57.54 | Professional | TC · Technical part | $25.12 | $29.51 | $57.54 |
Medcost Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
Medcost Setting Facility Modifier None Typical Low $33.11 Median $38.02 Typical High $112.20 | Facility | None | $33.11 | $38.02 | $112.20 |
Medcost Setting Professional Modifier None (both parts) Typical Low $47.86 Median $57.54 Typical High $75.86 | Professional | None (both parts) | $47.86 | $57.54 | $75.86 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $18.20 Typical High $26.30 | Professional | 26 · Professional part | $15.49 | $18.20 | $26.30 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $40.74 Typical High $56.23 | Professional | TC · Technical part | $37.15 | $40.74 | $56.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $32.36 Median $43.65 Typical High $61.66 | Professional | None (both parts) | $32.36 | $43.65 | $61.66 |
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 $33.88 Median $45.71 Typical High $81.28 | Professional | None (both parts) | $33.88 | $45.71 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $13.18 Typical High $24.55 | Professional | 26 · Professional part | $10.00 | $13.18 | $24.55 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $31.62 Typical High $54.95 | Professional | TC · Technical part | $23.99 | $31.62 | $54.95 |
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 $17.38 Median $17.38 Typical High $18.62 | Professional | 52 · Reduced service | $17.38 | $17.38 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $7.41 | Professional | 53 · Discontinued | $6.92 | $6.92 | $7.41 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $27.54 Median $27.54 Typical High $29.51 | Professional | FX · Film X-ray | $27.54 | $27.54 | $29.51 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $26.30 Median $28.84 Typical High $40.74 | Professional | 51 · Multiple procedures | $26.30 | $28.84 | $40.74 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $10.47 Median $11.48 Typical High $16.22 | Professional | 80 · Assistant surgeon | $10.47 | $11.48 | $16.22 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.41 Median $7.94 Typical High $11.48 | Professional | 81 · Minimal assistant surgeon | $7.41 | $7.94 | $11.48 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.41 Median $7.94 Typical High $11.48 | Professional | 82 · Assistant surgeon, no resident | $7.41 | $7.94 | $11.48 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $7.41 Median $7.94 Typical High $11.48 | Professional | AS · PA/NP assist | $7.41 | $7.94 | $11.48 |
Where South Carolina sits
The same service costs 3.7 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· 30th of 51
$47.86
AK $123UT $33.11
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.