How much rates vary
Facilitymedian $1,175 · 10th to 90th $302 to $2,291Professionalmedian $245 · 10th to 90th $126 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 $3,311.31 | Facility | None | $245.47 | $309.03 | $3,311.31 |
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 $398.11 | Professional | TC · Technical part | $169.82 | $169.82 | $398.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $190.55 Median $199.53 Typical High $354.81 | Professional | None (both parts) | $190.55 | $199.53 | $354.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $67.61 Typical High $112.20 | Professional | 26 · Professional part | $48.98 | $67.61 | $112.20 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $204.17 Typical High $234.42 | Professional | TC · Technical part | $181.97 | $204.17 | $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 $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 $190.55 Median $457.09 Typical High $660.69 | Professional | None (both parts) | $190.55 | $457.09 | $660.69 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $141.25 Typical High $181.97 | Professional | 26 · Professional part | $61.66 | $141.25 | $181.97 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $323.59 Typical High $478.63 | Professional | TC · Technical part | $131.83 | $323.59 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $870.96 Typical High $1,412.54 | Facility | None | $549.54 | $870.96 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $489.78 Typical High $707.95 | Professional | None (both parts) | $257.04 | $489.78 | $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 $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
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 $758.58 Typical High $891.25 | Professional | None (both parts) | $239.88 | $758.58 | $891.25 |
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 $51.29 Median $199.53 Typical High $338.84 | Professional | None (both parts) | $51.29 | $199.53 | $338.84 |
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 $48.98 Typical High $74.13 | Professional | 53 · Discontinued | $41.69 | $48.98 | $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 $1,148.15 Typical High $1,318.26 | Professional | 50 · Both sides | $446.68 | $1,148.15 | $1,318.26 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $147.91 Median $380.19 Typical High $436.52 | Professional | 51 · Multiple procedures | $147.91 | $380.19 | $436.52 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $58.88 Median $151.36 Typical High $177.83 | Professional | 80 · Assistant surgeon | $58.88 | $151.36 | $177.83 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $41.69 Median $107.15 Typical High $123.03 | Professional | 81 · Minimal assistant surgeon | $41.69 | $107.15 | $123.03 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $41.69 Median $107.15 Typical High $123.03 | Professional | 82 · Assistant surgeon, no resident | $41.69 | $107.15 | $123.03 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $41.69 Median $107.15 Typical High $123.03 | Professional | AS · PA/NP assist | $41.69 | $107.15 | $123.03 |
Where South Carolina sits
The same service costs 13.5 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
$251
VT $2,089UT $155
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.