How much rates vary
Facilitymedian $1,479 · 10th to 90th $550 to $2,570Professionalmedian $407 · 10th to 90th $129 to $646
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 $407.38 Median $1,949.84 Typical High $3,311.31 | Facility | None | $407.38 | $1,949.84 | $3,311.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $407.38 Typical High $467.74 | Professional | None (both parts) | $338.84 | $407.38 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $102.33 | Professional | 26 · Professional part | $79.43 | $93.33 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $316.23 Typical High $338.84 | Professional | TC · Technical part | $263.03 | $316.23 | $338.84 |
BCBS South Carolina Setting Facility Modifier None Typical Low $776.25 Median $1,479.11 Typical High $2,570.40 | Facility | None | $776.25 | $1,479.11 | $2,570.40 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | TC · Technical part | $616.60 | $616.60 | $616.60 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $309.03 Median $457.09 Typical High $645.65 | Professional | None (both parts) | $309.03 | $457.09 | $645.65 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $72.44 Typical High $186.21 | Professional | 26 · Professional part | $64.57 | $72.44 | $186.21 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $295.12 Typical High $512.86 | Professional | TC · Technical part | $234.42 | $295.12 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,584.89 Typical High $1,778.28 | Facility | None | $1,000.00 | $1,584.89 | $1,778.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $562.34 Typical High $912.01 | Professional | None (both parts) | $426.58 | $562.34 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $91.20 Typical High $177.83 | Professional | 26 · Professional part | $74.13 | $91.20 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $489.78 Typical High $741.31 | Professional | TC · Technical part | $323.59 | $489.78 | $741.31 |
Medcost Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
Medcost Setting Facility Modifier None Typical Low $407.38 Median $512.86 Typical High $1,047.13 | Facility | None | $407.38 | $512.86 | $1,047.13 |
Medcost Setting Professional Modifier None (both parts) Typical Low $389.05 Median $707.95 Typical High $912.01 | Professional | None (both parts) | $389.05 | $707.95 | $912.01 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $134.90 Typical High $190.55 | Professional | 26 · Professional part | $107.15 | $134.90 | $190.55 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $562.34 Typical High $870.96 | Professional | TC · Technical part | $436.52 | $562.34 | $870.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $114.82 Median $316.23 Typical High $537.03 | Professional | None (both parts) | $114.82 | $316.23 | $537.03 |
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 $363.08 Median $537.03 Typical High $954.99 | Professional | None (both parts) | $363.08 | $537.03 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $91.20 Typical High $165.96 | Professional | 26 · Professional part | $74.13 | $91.20 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $457.09 Typical High $812.83 | Professional | TC · Technical part | $281.84 | $457.09 | $812.83 |
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 $169.82 Median $204.17 Typical High $213.80 | Professional | 52 · Reduced service | $169.82 | $204.17 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $81.28 Typical High $85.11 | Professional | 53 · Discontinued | $67.61 | $81.28 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $323.59 Typical High $338.84 | Professional | FX · Film X-ray | $323.59 | $323.59 | $338.84 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $724.44 Median $1,096.48 Typical High $1,479.11 | Professional | 50 · Both sides | $724.44 | $1,096.48 | $1,479.11 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $245.47 Median $371.54 Typical High $489.78 | Professional | 51 · Multiple procedures | $245.47 | $371.54 | $489.78 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $97.72 Median $147.91 Typical High $194.98 | Professional | 80 · Assistant surgeon | $97.72 | $147.91 | $194.98 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $67.61 Median $102.33 Typical High $138.04 | Professional | 81 · Minimal assistant surgeon | $67.61 | $102.33 | $138.04 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $67.61 Median $102.33 Typical High $138.04 | Professional | 82 · Assistant surgeon, no resident | $67.61 | $102.33 | $138.04 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $67.61 Median $102.33 Typical High $138.04 | Professional | AS · PA/NP assist | $67.61 | $102.33 | $138.04 |
Where South Carolina sits
The same service costs 5.4 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· 43rd of 51
$407
WY $1,318UT $245
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.