How much rates vary
Facilitymedian $1,318 · 10th to 90th $447 to $3,162Professionalmedian $148 · 10th to 90th $65 to $363
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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $147.91 | Professional | None (both parts) | $134.90 | $134.90 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $60.26 | Professional | 26 · Professional part | $56.23 | $56.23 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $79.43 Typical High $87.10 | Professional | TC · Technical part | $70.79 | $79.43 | $87.10 |
BCBS South Carolina Setting Facility Modifier None Typical Low $575.44 Median $1,380.38 Typical High $3,162.28 | Facility | None | $575.44 | $1,380.38 | $3,162.28 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | TC · Technical part | $549.54 | $549.54 | $549.54 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $125.89 Median $309.03 Typical High $436.52 | Professional | None (both parts) | $125.89 | $309.03 | $436.52 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $83.18 Typical High $138.04 | Professional | 26 · Professional part | $58.88 | $83.18 | $138.04 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $169.82 Typical High $316.23 | Professional | TC · Technical part | $67.61 | $169.82 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $2,089.30 Typical High $4,168.69 | Facility | None | $524.81 | $2,089.30 | $4,168.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $229.09 Typical High $416.87 | Professional | None (both parts) | $144.54 | $229.09 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $75.86 Typical High $131.83 | Professional | 26 · Professional part | $60.26 | $75.86 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $169.82 Typical High $281.84 | Professional | TC · Technical part | $77.62 | $169.82 | $281.84 |
Medcost Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
Medcost Setting Facility Modifier None Typical Low $134.90 Median $194.98 Typical High $891.25 | Facility | None | $134.90 | $194.98 | $891.25 |
Medcost Setting Professional Modifier None (both parts) Typical Low $186.21 Median $295.12 Typical High $467.74 | Professional | None (both parts) | $186.21 | $295.12 | $467.74 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $109.65 Typical High $165.96 | Professional | 26 · Professional part | $95.50 | $109.65 | $165.96 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $199.53 Typical High $239.88 | Professional | TC · Technical part | $141.25 | $199.53 | $239.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $51.29 Median $112.20 Typical High $223.87 | Professional | None (both parts) | $51.29 | $112.20 | $223.87 |
United Setting Facility Modifier None Typical Low $3,311.31 Median $3,981.07 Typical High $5,248.07 | Facility | None | $3,311.31 | $3,981.07 | $5,248.07 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $223.87 Typical High $398.11 | Professional | None (both parts) | $134.90 | $223.87 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $75.86 Typical High $138.04 | Professional | 26 · Professional part | $60.26 | $75.86 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $131.83 Typical High $281.84 | Professional | TC · Technical part | $67.61 | $131.83 | $281.84 |
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 $67.61 Median $67.61 Typical High $74.13 | Professional | 52 · Reduced service | $67.61 | $67.61 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $29.51 | Professional | 53 · Discontinued | $26.92 | $26.92 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $107.15 Typical High $117.49 | Professional | FX · Film X-ray | $107.15 | $107.15 | $117.49 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $117.49 Median $147.91 Typical High $234.42 | Professional | 51 · Multiple procedures | $117.49 | $147.91 | $234.42 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $46.77 Median $58.88 Typical High $93.33 | Professional | 80 · Assistant surgeon | $46.77 | $58.88 | $93.33 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $32.36 Median $41.69 Typical High $66.07 | Professional | 81 · Minimal assistant surgeon | $32.36 | $41.69 | $66.07 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $32.36 Median $41.69 Typical High $66.07 | Professional | 82 · Assistant surgeon, no resident | $32.36 | $41.69 | $66.07 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $32.36 Median $41.69 Typical High $66.07 | Professional | AS · PA/NP assist | $32.36 | $41.69 | $66.07 |
Where South Carolina sits
The same service costs 4.6 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· 46th of 51
$155
AK $447UT $97.72
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.