How much rates vary
Facilitymedian $158 · 10th to 90th $50 to $295Professionalmedian $35 · 10th to 90th $25 to $58
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 $22.91 Median $29.51 Typical High $354.81 | Facility | None | $22.91 | $29.51 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $24.55 Typical High $41.69 | Professional | None (both parts) | $22.91 | $24.55 | $41.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $6.61 Typical High $11.48 | Professional | 26 · Professional part | $6.31 | $6.61 | $11.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $17.78 Typical High $30.20 | Professional | TC · Technical part | $16.98 | $17.78 | $30.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $21.88 Median $33.88 Typical High $48.98 | Professional | None (both parts) | $21.88 | $33.88 | $48.98 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $12.30 Typical High $20.42 | Professional | 26 · Professional part | $6.03 | $12.30 | $20.42 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $26.92 Typical High $26.92 | Professional | TC · Technical part | $18.62 | $26.92 | $26.92 |
BCBS South Carolina Setting Facility Modifier None Typical Low $85.11 Median $162.18 Typical High $295.12 | Facility | None | $85.11 | $162.18 | $295.12 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | TC · Technical part | $58.88 | $58.88 | $58.88 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $26.92 Median $33.88 Typical High $51.29 | Professional | None (both parts) | $26.92 | $33.88 | $51.29 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $16.98 Typical High $21.88 | Professional | 26 · Professional part | $7.41 | $16.98 | $21.88 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $19.50 Typical High $27.54 | Professional | TC · Technical part | $15.14 | $19.50 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $234.42 Typical High $467.74 | Facility | None | $128.82 | $234.42 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $28.84 Typical High $52.48 | Professional | None (both parts) | $24.55 | $28.84 | $52.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.71 Typical High $15.49 | Professional | 26 · Professional part | $7.24 | $8.71 | $15.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $19.95 Typical High $38.02 | Professional | TC · Technical part | $16.98 | $19.95 | $38.02 |
Medcost Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
Medcost Setting Facility Modifier None Typical Low $22.91 Median $31.62 Typical High $162.18 | Facility | None | $22.91 | $31.62 | $162.18 |
Medcost Setting Professional Modifier None (both parts) Typical Low $31.62 Median $41.69 Typical High $53.70 | Professional | None (both parts) | $31.62 | $41.69 | $53.70 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $14.13 Typical High $19.05 | Professional | 26 · Professional part | $11.22 | $14.13 | $19.05 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $28.84 Typical High $38.02 | Professional | TC · Technical part | $23.99 | $28.84 | $38.02 |
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 $22.39 Median $30.90 Typical High $54.95 | Professional | None (both parts) | $22.39 | $30.90 | $54.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $8.91 Typical High $15.85 | Professional | 26 · Professional part | $6.92 | $8.91 | $15.85 |
United Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $21.88 Typical High $38.90 | Professional | TC · Technical part | $15.85 | $21.88 | $38.90 |
10 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 $11.48 Median $11.48 Typical High $12.30 | Professional | 52 · Reduced service | $11.48 | $11.48 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.57 Typical High $4.90 | Professional | 53 · Discontinued | $4.57 | $4.57 | $4.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $18.62 Median $18.62 Typical High $19.50 | Professional | FX · Film X-ray | $18.62 | $18.62 | $19.50 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $27.54 Median $44.67 Typical High $44.67 | Professional | 50 · Both sides | $27.54 | $44.67 | $44.67 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $52.48 Median $63.10 Typical High $83.18 | Professional | 50 · Both sides | $52.48 | $63.10 | $83.18 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $17.38 Median $20.89 Typical High $28.18 | Professional | 51 · Multiple procedures | $17.38 | $20.89 | $28.18 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.92 Median $8.32 Typical High $11.22 | Professional | 80 · Assistant surgeon | $6.92 | $8.32 | $11.22 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.90 Median $5.89 Typical High $7.76 | Professional | 81 · Minimal assistant surgeon | $4.90 | $5.89 | $7.76 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.90 Median $5.89 Typical High $7.76 | Professional | 82 · Assistant surgeon, no resident | $4.90 | $5.89 | $7.76 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.90 Median $5.89 Typical High $7.76 | Professional | AS · PA/NP assist | $4.90 | $5.89 | $7.76 |
Where South Carolina sits
The same service costs 3.7 times more in Alaska 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· 20th of 51
$37.15
AK $83.18FL $22.39
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.