How much rates vary
Facilitymedian $776 · 10th to 90th $339 to $1,738Professionalmedian $110 · 10th to 90th $66 to $174
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 $141.25 | Facility | None | $91.20 | $91.20 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $120.23 | Professional | None (both parts) | $91.20 | $91.20 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $28.84 | Professional | 26 · Professional part | $22.91 | $22.91 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $91.20 | Professional | TC · Technical part | $67.61 | $67.61 | $91.20 |
BCBS South Carolina Setting Facility Modifier None Typical Low $416.87 Median $831.76 Typical High $1,698.24 | Facility | None | $416.87 | $831.76 | $1,698.24 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | TC · Technical part | $281.84 | $281.84 | $281.84 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $89.13 Median $109.65 Typical High $165.96 | Professional | None (both parts) | $89.13 | $109.65 | $165.96 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $39.81 Typical High $52.48 | Professional | 26 · Professional part | $24.55 | $39.81 | $52.48 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $66.07 Typical High $107.15 | Professional | TC · Technical part | $63.10 | $66.07 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $954.99 Typical High $1,905.46 | Facility | None | $363.08 | $954.99 | $1,905.46 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $112.20 Typical High $194.98 | Professional | None (both parts) | $91.20 | $112.20 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $31.62 Typical High $54.95 | Professional | 26 · Professional part | $25.12 | $31.62 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $79.43 Typical High $144.54 | Professional | TC · Technical part | $66.07 | $79.43 | $144.54 |
Medcost Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
Medcost Setting Facility Modifier None Typical Low $91.20 Median $123.03 Typical High $512.86 | Facility | None | $91.20 | $123.03 | $512.86 |
Medcost Setting Professional Modifier None (both parts) Typical Low $125.89 Median $147.91 Typical High $190.55 | Professional | None (both parts) | $125.89 | $147.91 | $190.55 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $46.77 Typical High $69.18 | Professional | 26 · Professional part | $38.90 | $46.77 | $69.18 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $117.49 Typical High $144.54 | Professional | TC · Technical part | $87.10 | $117.49 | $144.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $52.48 Median $102.33 Typical High $169.82 | Professional | None (both parts) | $52.48 | $102.33 | $169.82 |
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 $85.11 Median $117.49 Typical High $208.93 | Professional | None (both parts) | $85.11 | $117.49 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $31.62 Typical High $57.54 | Professional | 26 · Professional part | $24.55 | $31.62 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $85.11 Typical High $151.36 | Professional | TC · Technical part | $60.26 | $85.11 | $151.36 |
9 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 $50.12 | Professional | 52 · Reduced service | $45.71 | $45.71 | $50.12 |
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 50 · Both sides Typical Low $190.55 Median $257.04 Typical High $309.03 | Professional | 50 · Both sides | $190.55 | $257.04 | $309.03 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $63.10 Median $85.11 Typical High $102.33 | Professional | 51 · Multiple procedures | $63.10 | $85.11 | $102.33 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $25.12 Median $33.88 Typical High $41.69 | Professional | 80 · Assistant surgeon | $25.12 | $33.88 | $41.69 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $17.78 Median $23.99 Typical High $28.84 | Professional | 81 · Minimal assistant surgeon | $17.78 | $23.99 | $28.84 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $17.78 Median $23.99 Typical High $28.84 | Professional | 82 · Assistant surgeon, no resident | $17.78 | $23.99 | $28.84 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $17.78 Median $23.99 Typical High $28.84 | Professional | AS · PA/NP assist | $17.78 | $23.99 | $28.84 |
Where South Carolina sits
The same service costs 4.2 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· 35th of 51
$110
AK $309UT $74.13
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.