How much rates vary
Facilitymedian $158 · 10th to 90th $49 to $295Professionalmedian $38 · 10th to 90th $28 to $60
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 $27.54 Median $30.20 Typical High $51.29 | Facility | None | $27.54 | $30.20 | $51.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $27.54 Typical High $48.98 | Professional | None (both parts) | $27.54 | $27.54 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.08 Typical High $12.59 | Professional | 26 · Professional part | $6.76 | $7.08 | $12.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $20.89 Typical High $35.48 | Professional | TC · Technical part | $20.89 | $20.89 | $35.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $32.36 Median $46.77 Typical High $58.88 | Professional | None (both parts) | $32.36 | $46.77 | $58.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $8.91 Typical High $14.79 | Professional | 26 · Professional part | $6.46 | $8.91 | $14.79 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $33.88 Typical High $33.88 | Professional | TC · Technical part | $16.22 | $33.88 | $33.88 |
BCBS South Carolina Setting Facility Modifier None Typical Low $81.28 Median $169.82 Typical High $295.12 | Facility | None | $81.28 | $169.82 | $295.12 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | TC · Technical part | $57.54 | $57.54 | $57.54 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $32.36 Median $36.31 Typical High $50.12 | Professional | None (both parts) | $32.36 | $36.31 | $50.12 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $16.98 Typical High $21.88 | Professional | 26 · Professional part | $8.13 | $16.98 | $21.88 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $23.99 Typical High $29.51 | Professional | TC · Technical part | $15.85 | $23.99 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $239.88 Typical High $467.74 | Facility | None | $154.88 | $239.88 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $32.36 Typical High $60.26 | Professional | None (both parts) | $25.12 | $32.36 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $9.55 Typical High $16.98 | Professional | 26 · Professional part | $7.24 | $9.55 | $16.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $22.39 Typical High $43.65 | Professional | TC · Technical part | $18.20 | $22.39 | $43.65 |
Medcost Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Medcost Setting Facility Modifier None Typical Low $25.12 Median $37.15 Typical High $162.18 | Facility | None | $25.12 | $37.15 | $162.18 |
Medcost Setting Professional Modifier None (both parts) Typical Low $38.02 Median $42.66 Typical High $54.95 | Professional | None (both parts) | $38.02 | $42.66 | $54.95 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $15.14 Typical High $19.50 | Professional | 26 · Professional part | $11.75 | $15.14 | $19.50 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $29.51 Typical High $46.77 | Professional | TC · Technical part | $26.92 | $29.51 | $46.77 |
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 $363.08 Median $446.68 Typical High $575.44 | Facility | None | $363.08 | $446.68 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $34.67 Typical High $63.10 | Professional | None (both parts) | $25.12 | $34.67 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.55 Typical High $17.38 | Professional | 26 · Professional part | $7.59 | $9.55 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $24.55 Typical High $47.86 | Professional | TC · Technical part | $17.78 | $24.55 | $47.86 |
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 $13.80 Median $13.80 Typical High $14.79 | Professional | 52 · Reduced service | $13.80 | $13.80 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.50 Typical High $5.89 | Professional | 53 · Discontinued | $5.50 | $5.50 | $5.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.88 Median $21.88 Typical High $23.44 | Professional | FX · Film X-ray | $21.88 | $21.88 | $23.44 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $57.54 Median $64.57 Typical High $93.33 | Professional | 50 · Both sides | $57.54 | $64.57 | $93.33 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $19.50 Median $21.88 Typical High $30.90 | Professional | 51 · Multiple procedures | $19.50 | $21.88 | $30.90 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.76 Median $8.51 Typical High $12.30 | Professional | 80 · Assistant surgeon | $7.76 | $8.51 | $12.30 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.37 Median $6.03 Typical High $8.71 | Professional | 81 · Minimal assistant surgeon | $5.37 | $6.03 | $8.71 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.37 Median $6.03 Typical High $8.71 | Professional | 82 · Assistant surgeon, no resident | $5.37 | $6.03 | $8.71 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.37 Median $6.03 Typical High $8.71 | Professional | AS · PA/NP assist | $5.37 | $6.03 | $8.71 |
Where South Carolina sits
The same service costs 3.7 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· 23rd of 51
$39.81
AK $100FL $26.92
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.