How much rates vary
Facilitymedian $1,175 · 10th to 90th $389 to $2,188Professionalmedian $372 · 10th to 90th $224 to $589
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 $346.74 Median $446.68 Typical High $2,570.40 | Facility | None | $346.74 | $446.68 | $2,570.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $549.54 | Professional | None (both parts) | $346.74 | $346.74 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $79.43 Typical High $151.36 | Professional | 26 · Professional part | $72.44 | $79.43 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $407.38 | Professional | TC · Technical part | $263.03 | $263.03 | $407.38 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $281.84 Median $309.03 Typical High $524.81 | Professional | None (both parts) | $281.84 | $309.03 | $524.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $67.61 Typical High $112.20 | Professional | 26 · Professional part | $61.66 | $67.61 | $112.20 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $346.74 Typical High $524.81 | Professional | TC · Technical part | $309.03 | $346.74 | $524.81 |
BCBS South Carolina Setting Facility Modifier None Typical Low $691.83 Median $1,288.25 Typical High $2,187.76 | Facility | None | $691.83 | $1,288.25 | $2,187.76 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $380.19 Median $512.86 Typical High $512.86 | Facility | TC · Technical part | $380.19 | $512.86 | $512.86 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $281.84 Median $457.09 Typical High $616.60 | Professional | None (both parts) | $281.84 | $457.09 | $616.60 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $61.66 Typical High $120.23 | Professional | 26 · Professional part | $53.70 | $61.66 | $120.23 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $354.81 Typical High $467.74 | Professional | TC · Technical part | $223.87 | $354.81 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,230.27 Typical High $1,479.11 | Facility | None | $933.25 | $1,230.27 | $1,479.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $501.19 Typical High $831.76 | Professional | None (both parts) | $371.54 | $501.19 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $74.13 Typical High $147.91 | Professional | 26 · Professional part | $61.66 | $74.13 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $436.52 Typical High $660.69 | Professional | TC · Technical part | $295.12 | $436.52 | $660.69 |
Medcost Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Medcost Setting Facility Modifier None Typical Low $186.21 Median $380.19 Typical High $562.34 | Facility | None | $186.21 | $380.19 | $562.34 |
Medcost Setting Professional Modifier None (both parts) Typical Low $331.13 Median $575.44 Typical High $776.25 | Professional | None (both parts) | $331.13 | $575.44 | $776.25 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $112.20 Typical High $158.49 | Professional | 26 · Professional part | $95.50 | $112.20 | $158.49 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $489.78 Typical High $741.31 | Professional | TC · Technical part | $371.54 | $489.78 | $741.31 |
Molina Setting Professional Modifier None (both parts) Typical Low $51.29 Median $323.59 Typical High $501.19 | Professional | None (both parts) | $51.29 | $323.59 | $501.19 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,202.26 Typical High $1,584.89 | Facility | None | $1,000.00 | $1,202.26 | $1,584.89 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $489.78 Typical High $831.76 | Professional | None (both parts) | $331.13 | $489.78 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $75.86 Typical High $138.04 | Professional | 26 · Professional part | $61.66 | $75.86 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $426.58 Typical High $724.44 | Professional | TC · Technical part | $263.03 | $426.58 | $724.44 |
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 $151.36 Median $173.78 Typical High $213.80 | Professional | 52 · Reduced service | $151.36 | $173.78 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $69.18 Typical High $85.11 | Professional | 53 · Discontinued | $60.26 | $69.18 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $275.42 Median $275.42 Typical High $338.84 | Professional | FX · Film X-ray | $275.42 | $275.42 | $338.84 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $616.60 Median $870.96 Typical High $1,230.27 | Professional | 50 · Both sides | $616.60 | $870.96 | $1,230.27 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $204.17 Median $295.12 Typical High $407.38 | Professional | 51 · Multiple procedures | $204.17 | $295.12 | $407.38 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $83.18 Median $117.49 Typical High $162.18 | Professional | 80 · Assistant surgeon | $83.18 | $117.49 | $162.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $57.54 Median $81.28 Typical High $114.82 | Professional | 81 · Minimal assistant surgeon | $57.54 | $81.28 | $114.82 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $57.54 Median $81.28 Typical High $114.82 | Professional | 82 · Assistant surgeon, no resident | $57.54 | $81.28 | $114.82 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $57.54 Median $81.28 Typical High $114.82 | Professional | AS · PA/NP assist | $57.54 | $81.28 | $114.82 |
Where South Carolina sits
The same service costs 5.1 times more in Wyoming 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· 42nd of 51
$389
WY $1,202UT $234
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.