How much rates vary
Facilitymedian $1,175 · 10th to 90th $309 to $2,291Professionalmedian $234 · 10th to 90th $89 to $575
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 $245.47 Median $309.03 Typical High $2,570.40 | Facility | None | $245.47 | $309.03 | $2,570.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $549.54 | Professional | None (both parts) | $245.47 | $245.47 | $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 $169.82 Median $169.82 Typical High $389.05 | Professional | TC · Technical part | $169.82 | $169.82 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $190.55 Median $204.17 Typical High $354.81 | Professional | None (both parts) | $190.55 | $204.17 | $354.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $61.66 Typical High $112.20 | Professional | 26 · Professional part | $48.98 | $61.66 | $112.20 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $181.97 Typical High $234.42 | Professional | TC · Technical part | $131.83 | $181.97 | $234.42 |
BCBS South Carolina Setting Facility Modifier None Typical Low $645.65 Median $1,318.26 Typical High $2,290.87 | Facility | None | $645.65 | $1,318.26 | $2,290.87 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $467.74 Median $616.60 Typical High $616.60 | Facility | TC · Technical part | $467.74 | $616.60 | $616.60 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $190.55 Median $457.09 Typical High $645.65 | Professional | None (both parts) | $190.55 | $457.09 | $645.65 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $141.25 Typical High $177.83 | Professional | 26 · Professional part | $61.66 | $141.25 | $177.83 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $323.59 Typical High $416.87 | Professional | TC · Technical part | $131.83 | $323.59 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $870.96 Typical High $1,380.38 | Facility | None | $549.54 | $870.96 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $478.63 Typical High $707.95 | Professional | None (both parts) | $257.04 | $478.63 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $75.86 Typical High $147.91 | Professional | 26 · Professional part | $61.66 | $75.86 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $426.58 Typical High $549.54 | Professional | TC · Technical part | $169.82 | $426.58 | $549.54 |
Medcost Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Medcost Setting Facility Modifier None Typical Low $245.47 Median $354.81 Typical High $812.83 | Facility | None | $245.47 | $354.81 | $812.83 |
Medcost Setting Professional Modifier None (both parts) Typical Low $239.88 Median $707.95 Typical High $758.58 | Professional | None (both parts) | $239.88 | $707.95 | $758.58 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $112.20 Typical High $269.15 | Professional | 26 · Professional part | $95.50 | $112.20 | $269.15 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $478.63 Typical High $524.81 | Professional | TC · Technical part | $234.42 | $478.63 | $524.81 |
Molina Setting Professional Modifier None (both parts) Typical Low $75.86 Median $165.96 Typical High $316.23 | Professional | None (both parts) | $75.86 | $165.96 | $316.23 |
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 $213.80 Median $389.05 Typical High $758.58 | Professional | None (both parts) | $213.80 | $389.05 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $77.62 Typical High $138.04 | Professional | 26 · Professional part | $61.66 | $77.62 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $263.03 Typical High $660.69 | Professional | TC · Technical part | $147.91 | $263.03 | $660.69 |
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 $104.71 Median $123.03 Typical High $186.21 | Professional | 52 · Reduced service | $104.71 | $123.03 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $50.12 Typical High $74.13 | Professional | 53 · Discontinued | $41.69 | $50.12 | $74.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $199.53 Median $199.53 Typical High $281.84 | Professional | FX · Film X-ray | $199.53 | $199.53 | $281.84 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $446.68 Median $1,071.52 Typical High $1,148.15 | Professional | 50 · Both sides | $446.68 | $1,071.52 | $1,148.15 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $147.91 Median $354.81 Typical High $380.19 | Professional | 51 · Multiple procedures | $147.91 | $354.81 | $380.19 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $58.88 Median $144.54 Typical High $154.88 | Professional | 80 · Assistant surgeon | $58.88 | $144.54 | $154.88 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $41.69 Median $100.00 Typical High $107.15 | Professional | 81 · Minimal assistant surgeon | $41.69 | $100.00 | $107.15 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $41.69 Median $100.00 Typical High $107.15 | Professional | 82 · Assistant surgeon, no resident | $41.69 | $100.00 | $107.15 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $41.69 Median $100.00 Typical High $107.15 | Professional | AS · PA/NP assist | $41.69 | $100.00 | $107.15 |
Where South Carolina sits
The same service costs 7.1 times more in Vermont 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· 44th of 51
$245
VT $955UT $135
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.