How much rates vary
Facilitymedian $708 · 10th to 90th $257 to $1,698Professionalmedian $132 · 10th to 90th $89 to $214
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 $107.15 Median $107.15 Typical High $154.88 | Facility | None | $107.15 | $107.15 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $107.15 Typical High $138.04 | Professional | None (both parts) | $102.33 | $107.15 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $30.90 | Professional | 26 · Professional part | $23.44 | $23.44 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $83.18 Typical High $102.33 | Professional | TC · Technical part | $75.86 | $83.18 | $102.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $123.03 | $123.03 | $123.03 |
BCBS South Carolina Setting Facility Modifier None Typical Low $398.11 Median $724.44 Typical High $1,698.24 | Facility | None | $398.11 | $724.44 | $1,698.24 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | TC · Technical part | $281.84 | $281.84 | $281.84 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $109.65 Median $123.03 Typical High $173.78 | Professional | None (both parts) | $109.65 | $123.03 | $173.78 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $38.90 Typical High $52.48 | Professional | 26 · Professional part | $27.54 | $38.90 | $52.48 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $91.20 Typical High $104.71 | Professional | TC · Technical part | $63.10 | $91.20 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $954.99 Typical High $1,905.46 | Facility | None | $457.09 | $954.99 | $1,905.46 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $114.82 Typical High $213.80 | Professional | None (both parts) | $91.20 | $114.82 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.90 Typical High $56.23 | Professional | 26 · Professional part | $25.12 | $30.90 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $85.11 Typical High $165.96 | Professional | TC · Technical part | $66.07 | $85.11 | $165.96 |
Medcost Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
Medcost Setting Facility Modifier None Typical Low $100.00 Median $144.54 Typical High $512.86 | Facility | None | $100.00 | $144.54 | $512.86 |
Medcost Setting Professional Modifier None (both parts) Typical Low $125.89 Median $169.82 Typical High $190.55 | Professional | None (both parts) | $125.89 | $169.82 | $190.55 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $45.71 Typical High $67.61 | Professional | 26 · Professional part | $39.81 | $45.71 | $67.61 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $117.49 Typical High $177.83 | Professional | TC · Technical part | $87.10 | $117.49 | $177.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $54.95 Median $144.54 Typical High $229.09 | Professional | None (both parts) | $54.95 | $144.54 | $229.09 |
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 $87.10 Median $125.89 Typical High $239.88 | Professional | None (both parts) | $87.10 | $125.89 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $32.36 Typical High $58.88 | Professional | 26 · Professional part | $25.70 | $32.36 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $95.50 Typical High $186.21 | Professional | TC · Technical part | $61.66 | $95.50 | $186.21 |
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 $53.70 Median $53.70 Typical High $58.88 | Professional | 52 · Reduced service | $53.70 | $53.70 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $23.44 | Professional | 53 · Discontinued | $21.38 | $21.38 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $85.11 Typical High $95.50 | Professional | FX · Film X-ray | $85.11 | $85.11 | $95.50 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $190.55 Median $251.19 Typical High $338.84 | Professional | 50 · Both sides | $190.55 | $251.19 | $338.84 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $63.10 Median $85.11 Typical High $114.82 | Professional | 51 · Multiple procedures | $63.10 | $85.11 | $114.82 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $25.12 Median $33.88 Typical High $45.71 | Professional | 80 · Assistant surgeon | $25.12 | $33.88 | $45.71 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $17.78 Median $23.44 Typical High $31.62 | Professional | 81 · Minimal assistant surgeon | $17.78 | $23.44 | $31.62 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $17.78 Median $23.44 Typical High $31.62 | Professional | 82 · Assistant surgeon, no resident | $17.78 | $23.44 | $31.62 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $17.78 Median $23.44 Typical High $31.62 | Professional | AS · PA/NP assist | $17.78 | $23.44 | $31.62 |
Where South Carolina sits
The same service costs 3.8 times more in Alaska than in New York. 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· 30th of 51
$132
AK $363NY $95.50
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.