How much rates vary
Facilitymedian $1,479 · 10th to 90th $550 to $2,570Professionalmedian $316 · 10th to 90th $129 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 $323.59 Median $1,949.84 Typical High $3,311.31 | Facility | None | $323.59 | $1,949.84 | $3,311.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $323.59 Typical High $524.81 | Professional | None (both parts) | $281.84 | $323.59 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $141.25 | Professional | 26 · Professional part | $79.43 | $93.33 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $229.09 Typical High $354.81 | Professional | TC · Technical part | $204.17 | $229.09 | $354.81 |
BCBS South Carolina Setting Facility Modifier None Typical Low $831.76 Median $1,513.56 Typical High $2,570.40 | Facility | None | $831.76 | $1,513.56 | $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 $245.47 Median $457.09 Typical High $616.60 | Professional | None (both parts) | $245.47 | $457.09 | $616.60 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $64.57 Typical High $93.33 | Professional | 26 · Professional part | $60.26 | $64.57 | $93.33 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $398.11 Typical High $512.86 | Professional | TC · Technical part | $173.78 | $398.11 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,148.15 Typical High $1,778.28 | Facility | None | $741.31 | $1,148.15 | $1,778.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $562.34 Typical High $831.76 | Professional | None (both parts) | $363.08 | $562.34 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $89.13 Typical High $177.83 | Professional | 26 · Professional part | $74.13 | $89.13 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $489.78 Typical High $691.83 | Professional | TC · Technical part | $234.42 | $489.78 | $691.83 |
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 $323.59 Median $489.78 Typical High $1,047.13 | Facility | None | $323.59 | $489.78 | $1,047.13 |
Medcost Setting Professional Modifier None (both parts) Typical Low $309.03 Median $707.95 Typical High $933.25 | Professional | None (both parts) | $309.03 | $707.95 | $933.25 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $134.90 Typical High $199.53 | Professional | 26 · Professional part | $114.82 | $134.90 | $199.53 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $562.34 Typical High $707.95 | Professional | TC · Technical part | $316.23 | $562.34 | $707.95 |
Molina Setting Professional Modifier None (both parts) Typical Low $114.82 Median $245.47 Typical High $426.58 | Professional | None (both parts) | $114.82 | $245.47 | $426.58 |
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 $288.40 Median $489.78 Typical High $954.99 | Professional | None (both parts) | $288.40 | $489.78 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $91.20 Typical High $165.96 | Professional | 26 · Professional part | $72.44 | $91.20 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $371.54 Typical High $812.83 | Professional | TC · Technical part | $204.17 | $371.54 | $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 $134.90 Median $162.18 Typical High $213.80 | Professional | 52 · Reduced service | $134.90 | $162.18 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $64.57 Typical High $85.11 | Professional | 53 · Discontinued | $53.70 | $64.57 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $257.04 Median $257.04 Typical High $316.23 | Professional | FX · Film X-ray | $257.04 | $257.04 | $316.23 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $575.44 Median $1,047.13 Typical High $1,380.38 | Professional | 50 · Both sides | $575.44 | $1,047.13 | $1,380.38 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $194.98 Median $371.54 Typical High $467.74 | Professional | 51 · Multiple procedures | $194.98 | $371.54 | $467.74 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $77.62 Median $141.25 Typical High $186.21 | Professional | 80 · Assistant surgeon | $77.62 | $141.25 | $186.21 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $53.70 Median $97.72 Typical High $128.82 | Professional | 81 · Minimal assistant surgeon | $53.70 | $97.72 | $128.82 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $53.70 Median $97.72 Typical High $128.82 | Professional | 82 · Assistant surgeon, no resident | $53.70 | $97.72 | $128.82 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $53.70 Median $97.72 Typical High $128.82 | Professional | AS · PA/NP assist | $53.70 | $97.72 | $128.82 |
Where South Carolina sits
The same service costs 5.5 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· 45th of 51
$324
WY $1,047UT $191
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.