How much rates vary
Facilitymedian $158 · 10th to 90th $49 to $302Professionalmedian $36 · 10th to 90th $26 to $59
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 $25.70 Median $32.36 Typical High $46.77 | Facility | None | $25.70 | $32.36 | $46.77 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $25.70 Typical High $39.81 | Professional | None (both parts) | $25.70 | $25.70 | $39.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $6.76 Typical High $10.72 | Professional | 26 · Professional part | $6.76 | $6.76 | $10.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $18.62 Typical High $29.51 | Professional | TC · Technical part | $18.62 | $18.62 | $29.51 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $29.51 Median $32.36 Typical High $36.31 | Professional | None (both parts) | $29.51 | $32.36 | $36.31 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $1.55 Median $8.51 Typical High $14.45 | Professional | 26 · Professional part | $1.55 | $8.51 | $14.45 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $30.20 Typical High $30.20 | Professional | TC · Technical part | $17.38 | $30.20 | $30.20 |
BCBS South Carolina Setting Facility Modifier None Typical Low $83.18 Median $165.96 Typical High $295.12 | Facility | None | $83.18 | $165.96 | $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 $29.51 Median $33.88 Typical High $50.12 | Professional | None (both parts) | $29.51 | $33.88 | $50.12 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $15.14 Typical High $19.50 | Professional | 26 · Professional part | $7.76 | $15.14 | $19.50 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $21.38 Typical High $28.18 | Professional | TC · Technical part | $16.98 | $21.38 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $281.84 Typical High $562.34 | Facility | None | $141.25 | $281.84 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $29.51 Typical High $53.70 | Professional | None (both parts) | $24.55 | $29.51 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $9.12 Typical High $15.85 | Professional | 26 · Professional part | $7.24 | $9.12 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $19.95 Typical High $38.90 | Professional | TC · Technical part | $17.38 | $19.95 | $38.90 |
Medcost Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Medcost Setting Facility Modifier None Typical Low $24.55 Median $34.67 Typical High $162.18 | Facility | None | $24.55 | $34.67 | $162.18 |
Medcost Setting Professional Modifier None (both parts) Typical Low $35.48 Median $41.69 Typical High $51.29 | Professional | None (both parts) | $35.48 | $41.69 | $51.29 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $14.13 Typical High $19.05 | Professional | 26 · Professional part | $11.22 | $14.13 | $19.05 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $28.84 Typical High $40.74 | Professional | TC · Technical part | $24.55 | $28.84 | $40.74 |
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 $436.52 Median $537.03 Typical High $691.83 | Facility | None | $436.52 | $537.03 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $23.44 Median $33.11 Typical High $58.88 | Professional | None (both parts) | $23.44 | $33.11 | $58.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $9.33 Typical High $16.98 | Professional | 26 · Professional part | $7.24 | $9.33 | $16.98 |
United Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $22.91 Typical High $42.66 | Professional | TC · Technical part | $15.85 | $22.91 | $42.66 |
10 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 $12.88 Median $12.88 Typical High $13.49 | Professional | 52 · Reduced service | $12.88 | $12.88 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.13 Typical High $5.37 | Professional | 53 · Discontinued | $5.13 | $5.13 | $5.37 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $20.42 Median $20.42 Typical High $21.88 | Professional | FX · Film X-ray | $20.42 | $20.42 | $21.88 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $43.65 Median $43.65 Typical High $48.98 | Professional | 50 · Both sides | $43.65 | $43.65 | $48.98 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $53.70 Median $63.10 Typical High $85.11 | Professional | 50 · Both sides | $53.70 | $63.10 | $85.11 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $17.78 Median $20.89 Typical High $28.18 | Professional | 51 · Multiple procedures | $17.78 | $20.89 | $28.18 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.08 Median $8.32 Typical High $11.22 | Professional | 80 · Assistant surgeon | $7.08 | $8.32 | $11.22 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.01 Median $5.89 Typical High $7.94 | Professional | 81 · Minimal assistant surgeon | $5.01 | $5.89 | $7.94 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.01 Median $5.89 Typical High $7.94 | Professional | 82 · Assistant surgeon, no resident | $5.01 | $5.89 | $7.94 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.01 Median $5.89 Typical High $7.94 | Professional | AS · PA/NP assist | $5.01 | $5.89 | $7.94 |
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
$38.02
AK $91.20FL $24.55
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.