How much rates vary
Facilitymedian $759 · 10th to 90th $355 to $1,738Professionalmedian $123 · 10th to 90th $87 to $214
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 $109.65 Median $109.65 Typical High $354.81 | Facility | None | $109.65 | $109.65 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $120.23 | Professional | None (both parts) | $109.65 | $109.65 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $26.92 | Professional | 26 · Professional part | $22.91 | $22.91 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $95.50 | Professional | TC · Technical part | $87.10 | $87.10 | $95.50 |
BCBS South Carolina Setting Facility Modifier None Typical Low $389.05 Median $794.33 Typical High $1,737.80 | Facility | None | $389.05 | $794.33 | $1,737.80 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | TC · Technical part | $275.42 | $275.42 | $275.42 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $93.33 Median $107.15 Typical High $151.36 | Professional | None (both parts) | $93.33 | $107.15 | $151.36 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $39.81 Typical High $60.26 | Professional | 26 · Professional part | $26.30 | $39.81 | $60.26 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $67.61 Typical High $107.15 | Professional | TC · Technical part | $32.36 | $67.61 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $954.99 Typical High $1,905.46 | Facility | None | $489.78 | $954.99 | $1,905.46 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $114.82 Typical High $223.87 | Professional | None (both parts) | $89.13 | $114.82 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $30.90 Typical High $54.95 | Professional | 26 · Professional part | $24.55 | $30.90 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $83.18 Typical High $177.83 | Professional | TC · Technical part | $64.57 | $83.18 | $177.83 |
Medcost Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
Medcost Setting Facility Modifier None Typical Low $81.28 Median $147.91 Typical High $512.86 | Facility | None | $81.28 | $147.91 | $512.86 |
Medcost Setting Professional Modifier None (both parts) Typical Low $117.49 Median $138.04 Typical High $181.97 | Professional | None (both parts) | $117.49 | $138.04 | $181.97 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $46.77 Typical High $63.10 | Professional | 26 · Professional part | $38.90 | $46.77 | $63.10 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $104.71 Typical High $186.21 | Professional | TC · Technical part | $97.72 | $104.71 | $186.21 |
Molina Setting Professional Modifier None (both parts) Typical Low $54.95 Median $144.54 Typical High $229.09 | Professional | None (both parts) | $54.95 | $144.54 | $229.09 |
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 $89.13 Median $128.82 Typical High $251.19 | Professional | None (both parts) | $89.13 | $128.82 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $31.62 Typical High $57.54 | Professional | 26 · Professional part | $25.12 | $31.62 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $95.50 Typical High $190.55 | Professional | TC · Technical part | $64.57 | $95.50 | $190.55 |
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 $54.95 Median $54.95 Typical High $60.26 | Professional | 52 · Reduced service | $54.95 | $54.95 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $23.99 | Professional | 53 · Discontinued | $21.88 | $21.88 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $89.13 Typical High $95.50 | Professional | FX · Film X-ray | $89.13 | $89.13 | $95.50 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $173.78 Median $208.93 Typical High $354.81 | Professional | 50 · Both sides | $173.78 | $208.93 | $354.81 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $58.88 Median $69.18 Typical High $117.49 | Professional | 51 · Multiple procedures | $58.88 | $69.18 | $117.49 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $23.44 Median $27.54 Typical High $46.77 | Professional | 80 · Assistant surgeon | $23.44 | $27.54 | $46.77 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.22 Median $19.50 Typical High $33.11 | Professional | 81 · Minimal assistant surgeon | $16.22 | $19.50 | $33.11 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.22 Median $19.50 Typical High $33.11 | Professional | 82 · Assistant surgeon, no resident | $16.22 | $19.50 | $33.11 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $16.22 Median $19.50 Typical High $33.11 | Professional | AS · PA/NP assist | $16.22 | $19.50 | $33.11 |
Where South Carolina sits
The same service costs 4.2 times more in Alaska than in New York. 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· 39th of 51
$129
AK $398NY $95.50
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.