How much rates vary
Facilitymedian $170 · 10th to 90th $45 to $295Professionalmedian $38 · 10th to 90th $28 to $62
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 $30.90 Median $33.11 Typical High $58.88 | Facility | None | $30.90 | $33.11 | $58.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.90 Typical High $54.95 | Professional | None (both parts) | $30.20 | $30.90 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $6.03 Typical High $10.00 | Professional | 26 · Professional part | $5.62 | $6.03 | $10.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $25.12 Typical High $45.71 | Professional | TC · Technical part | $23.99 | $25.12 | $45.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.90 Median $52.48 Typical High $66.07 | Professional | None (both parts) | $30.90 | $52.48 | $66.07 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.13 Median $6.46 Typical High $12.02 | Professional | 26 · Professional part | $5.13 | $6.46 | $12.02 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $36.31 Typical High $53.70 | Professional | TC · Technical part | $30.20 | $36.31 | $53.70 |
BCBS South Carolina Setting Facility Modifier None Typical Low $72.44 Median $169.82 Typical High $295.12 | Facility | None | $72.44 | $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 $28.18 Median $36.31 Typical High $50.12 | Professional | None (both parts) | $28.18 | $36.31 | $50.12 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $15.14 Typical High $19.95 | Professional | 26 · Professional part | $6.46 | $15.14 | $19.95 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $27.54 Typical High $31.62 | Professional | TC · Technical part | $12.88 | $27.54 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $234.42 Typical High $467.74 | Facility | None | $169.82 | $234.42 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $32.36 Typical High $64.57 | Professional | None (both parts) | $23.99 | $32.36 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $7.41 Typical High $13.49 | Professional | 26 · Professional part | $5.75 | $7.41 | $13.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $23.99 Typical High $52.48 | Professional | TC · Technical part | $18.62 | $23.99 | $52.48 |
Medcost Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Medcost Setting Facility Modifier None Typical Low $20.42 Median $41.69 Typical High $162.18 | Facility | None | $20.42 | $41.69 | $162.18 |
Medcost Setting Professional Modifier None (both parts) Typical Low $34.67 Median $41.69 Typical High $54.95 | Professional | None (both parts) | $34.67 | $41.69 | $54.95 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.96 Typical High $17.78 | Professional | 26 · Professional part | $9.55 | $10.96 | $17.78 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $30.20 Typical High $53.70 | Professional | TC · Technical part | $27.54 | $30.20 | $53.70 |
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 $35.48 Typical High $70.79 | Professional | None (both parts) | $25.12 | $35.48 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $7.76 Typical High $14.13 | Professional | 26 · Professional part | $6.17 | $7.76 | $14.13 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $28.18 Typical High $56.23 | Professional | TC · Technical part | $18.20 | $28.18 | $56.23 |
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 $15.49 Median $15.49 Typical High $16.22 | Professional | 52 · Reduced service | $15.49 | $15.49 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.17 Typical High $6.46 | Professional | 53 · Discontinued | $6.17 | $6.17 | $6.46 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $24.55 Median $24.55 Typical High $26.30 | Professional | FX · Film X-ray | $24.55 | $24.55 | $26.30 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $52.48 Median $63.10 Typical High $97.72 | Professional | 50 · Both sides | $52.48 | $63.10 | $97.72 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $17.38 Median $21.38 Typical High $33.11 | Professional | 51 · Multiple procedures | $17.38 | $21.38 | $33.11 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.08 Median $8.32 Typical High $13.18 | Professional | 80 · Assistant surgeon | $7.08 | $8.32 | $13.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.90 Median $5.89 Typical High $9.12 | Professional | 81 · Minimal assistant surgeon | $4.90 | $5.89 | $9.12 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.90 Median $5.89 Typical High $9.12 | Professional | 82 · Assistant surgeon, no resident | $4.90 | $5.89 | $9.12 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.90 Median $5.89 Typical High $9.12 | Professional | AS · PA/NP assist | $4.90 | $5.89 | $9.12 |
Where South Carolina sits
The same service costs 11.5 times more in Vermont 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· 28th of 51
$39.81
VT $339FL $29.51
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.