How much rates vary
Facilitymedian $3,715 · 10th to 90th $437 to $8,710Professionalmedian $135 · 10th to 90th $65 to $490
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 $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $114.82 | Professional | None (both parts) | $91.20 | $91.20 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $40.74 | Professional | 26 · Professional part | $33.88 | $33.88 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $72.44 | Professional | TC · Technical part | $57.54 | $57.54 | $72.44 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,819.70 Median $3,890.45 Typical High $8,709.64 | Facility | None | $1,819.70 | $3,890.45 | $8,709.64 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | TC · Technical part | $1,548.82 | $1,548.82 | $1,548.82 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $114.82 Median $407.38 Typical High $489.78 | Professional | None (both parts) | $114.82 | $407.38 | $489.78 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $64.57 Typical High $81.28 | Professional | 26 · Professional part | $38.90 | $64.57 | $81.28 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $338.84 Typical High $426.58 | Professional | TC · Technical part | $75.86 | $338.84 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $5,248.07 Typical High $6,025.60 | Facility | None | $436.52 | $5,248.07 | $6,025.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $199.53 Typical High $426.58 | Professional | None (both parts) | $102.33 | $199.53 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $47.86 Typical High $83.18 | Professional | 26 · Professional part | $38.02 | $47.86 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $162.18 Typical High $354.81 | Professional | TC · Technical part | $60.26 | $162.18 | $354.81 |
Medcost Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
Medcost Setting Facility Modifier None Typical Low $91.20 Median $165.96 Typical High $2,884.03 | Facility | None | $91.20 | $165.96 | $2,884.03 |
Medcost Setting Professional Modifier None (both parts) Typical Low $125.89 Median $275.42 Typical High $524.81 | Professional | None (both parts) | $125.89 | $275.42 | $524.81 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $70.79 Typical High $102.33 | Professional | 26 · Professional part | $58.88 | $70.79 | $102.33 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $128.82 Typical High $363.08 | Professional | TC · Technical part | $97.72 | $128.82 | $363.08 |
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 $8,128.31 Median $8,128.31 Typical High $10,000.00 | Facility | None | $8,128.31 | $8,128.31 | $10,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $158.49 Typical High $389.05 | Professional | None (both parts) | $100.00 | $158.49 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $47.86 Typical High $87.10 | Professional | 26 · Professional part | $38.02 | $47.86 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $97.72 Typical High $323.59 | Professional | TC · Technical part | $58.88 | $97.72 | $323.59 |
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 $45.71 Median $45.71 Typical High $48.98 | Professional | 52 · Reduced service | $45.71 | $45.71 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $19.95 | Professional | 53 · Discontinued | $18.20 | $18.20 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $72.44 Typical High $79.43 | Professional | FX · Film X-ray | $72.44 | $72.44 | $79.43 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $79.43 Median $138.04 Typical High $263.03 | Professional | 51 · Multiple procedures | $79.43 | $138.04 | $263.03 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $31.62 Median $54.95 Typical High $107.15 | Professional | 80 · Assistant surgeon | $31.62 | $54.95 | $107.15 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $21.88 Median $38.90 Typical High $74.13 | Professional | 81 · Minimal assistant surgeon | $21.88 | $38.90 | $74.13 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $21.88 Median $38.90 Typical High $74.13 | Professional | 82 · Assistant surgeon, no resident | $21.88 | $38.90 | $74.13 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $21.88 Median $38.90 Typical High $74.13 | Professional | AS · PA/NP assist | $21.88 | $38.90 | $74.13 |
Where South Carolina sits
The same service costs 4.0 times more in Alaska than in Florida. 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· 32nd of 51
$141
AK $339FL $85.11
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.