How much rates vary
Facilitymedian $1,479 · 10th to 90th $513 to $2,570Professionalmedian $316 · 10th to 90th $129 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 $331.13 Median $1,862.09 Typical High $3,311.31 | Facility | None | $331.13 | $1,862.09 | $3,311.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $331.13 Typical High $501.19 | Professional | None (both parts) | $288.40 | $331.13 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $100.00 Typical High $141.25 | Professional | 26 · Professional part | $85.11 | $100.00 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $229.09 Typical High $338.84 | Professional | TC · Technical part | $204.17 | $229.09 | $338.84 |
BCBS South Carolina Setting Facility Modifier None Typical Low $630.96 Median $1,513.56 Typical High $2,570.40 | Facility | None | $630.96 | $1,513.56 | $2,570.40 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | TC · Technical part | $645.65 | $645.65 | $645.65 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $251.19 Median $457.09 Typical High $630.96 | Professional | None (both parts) | $251.19 | $457.09 | $630.96 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $194.98 Typical High $257.04 | Professional | 26 · Professional part | $77.62 | $194.98 | $257.04 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $251.19 Typical High $426.58 | Professional | TC · Technical part | $173.78 | $251.19 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,148.15 Typical High $1,778.28 | Facility | None | $741.31 | $1,148.15 | $1,778.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $575.44 Typical High $831.76 | Professional | None (both parts) | $371.54 | $575.44 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $95.50 Typical High $177.83 | Professional | 26 · Professional part | $79.43 | $95.50 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $489.78 Typical High $691.83 | Professional | TC · Technical part | $234.42 | $489.78 | $691.83 |
Medcost Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
Medcost Setting Facility Modifier None Typical Low $302.00 Median $446.68 Typical High $691.83 | Facility | None | $302.00 | $446.68 | $691.83 |
Medcost Setting Professional Modifier None (both parts) Typical Low $316.23 Median $891.25 Typical High $1,202.26 | Professional | None (both parts) | $316.23 | $891.25 | $1,202.26 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $144.54 Typical High $218.78 | Professional | 26 · Professional part | $123.03 | $144.54 | $218.78 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $562.34 Typical High $707.95 | Professional | TC · Technical part | $323.59 | $562.34 | $707.95 |
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 $288.40 Median $501.19 Typical High $954.99 | Professional | None (both parts) | $288.40 | $501.19 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $97.72 Typical High $177.83 | Professional | 26 · Professional part | $77.62 | $97.72 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $371.54 Typical High $812.83 | Professional | TC · Technical part | $204.17 | $371.54 | $812.83 |
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 $138.04 Median $165.96 Typical High $213.80 | Professional | 52 · Reduced service | $138.04 | $165.96 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $66.07 Typical High $85.11 | Professional | 53 · Discontinued | $54.95 | $66.07 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $263.03 Median $263.03 Typical High $323.59 | Professional | FX · Film X-ray | $263.03 | $263.03 | $323.59 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $199.53 Median $446.68 Typical High $602.56 | Professional | 51 · Multiple procedures | $199.53 | $446.68 | $602.56 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $79.43 Median $177.83 Typical High $239.88 | Professional | 80 · Assistant surgeon | $79.43 | $177.83 | $239.88 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $54.95 Median $123.03 Typical High $165.96 | Professional | 81 · Minimal assistant surgeon | $54.95 | $123.03 | $165.96 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $54.95 Median $123.03 Typical High $165.96 | Professional | 82 · Assistant surgeon, no resident | $54.95 | $123.03 | $165.96 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $54.95 Median $123.03 Typical High $165.96 | Professional | AS · PA/NP assist | $54.95 | $123.03 | $165.96 |
Where South Carolina sits
The same service costs 5.6 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· 45th of 51
$331
WY $1,072TX $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.