How much rates vary
Facilitymedian $1,445 · 10th to 90th $550 to $2,754Professionalmedian $380 · 10th to 90th $132 to $646
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 $380.19 Median $1,819.70 Typical High $3,311.31 | Facility | None | $380.19 | $1,819.70 | $3,311.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $380.19 Typical High $549.54 | Professional | None (both parts) | $371.54 | $380.19 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $154.88 | Professional | 26 · Professional part | $79.43 | $93.33 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $288.40 Typical High $416.87 | Professional | TC · Technical part | $263.03 | $288.40 | $416.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $323.59 | $323.59 | $323.59 |
BCBS South Carolina Setting Facility Modifier None Typical Low $741.31 Median $1,445.44 Typical High $2,691.53 | Facility | None | $741.31 | $1,445.44 | $2,691.53 |
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 $295.12 Median $457.09 Typical High $660.69 | Professional | None (both parts) | $295.12 | $457.09 | $660.69 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $64.57 Typical High $91.20 | Professional | 26 · Professional part | $60.26 | $64.57 | $91.20 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $398.11 Typical High $512.86 | Professional | TC · Technical part | $223.87 | $398.11 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,445.44 Typical High $3,981.07 | Facility | None | $933.25 | $1,445.44 | $3,981.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $549.54 Typical High $870.96 | Professional | None (both parts) | $398.11 | $549.54 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $91.20 Typical High $165.96 | Professional | 26 · Professional part | $74.13 | $91.20 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $478.63 Typical High $724.44 | Professional | TC · Technical part | $302.00 | $478.63 | $724.44 |
Medcost Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Medcost Setting Facility Modifier None Typical Low $380.19 Median $489.78 Typical High $1,047.13 | Facility | None | $380.19 | $489.78 | $1,047.13 |
Medcost Setting Professional Modifier None (both parts) Typical Low $371.54 Median $912.01 Typical High $933.25 | Professional | None (both parts) | $371.54 | $912.01 | $933.25 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $134.90 Typical High $190.55 | Professional | 26 · Professional part | $117.49 | $134.90 | $190.55 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $562.34 Typical High $870.96 | Professional | TC · Technical part | $407.38 | $562.34 | $870.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $114.82 Median $288.40 Typical High $524.81 | Professional | None (both parts) | $114.82 | $288.40 | $524.81 |
United Setting Facility Modifier None Typical Low $3,311.31 Median $3,981.07 Typical High $5,248.07 | Facility | None | $3,311.31 | $3,981.07 | $5,248.07 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $524.81 Typical High $933.25 | Professional | None (both parts) | $338.84 | $524.81 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $93.33 Typical High $165.96 | Professional | 26 · Professional part | $74.13 | $93.33 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $436.52 Typical High $776.25 | Professional | TC · Technical part | $263.03 | $436.52 | $776.25 |
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 $162.18 Median $190.55 Typical High $213.80 | Professional | 52 · Reduced service | $162.18 | $190.55 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $77.62 Typical High $85.11 | Professional | 53 · Discontinued | $64.57 | $77.62 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $309.03 Median $309.03 Typical High $338.84 | Professional | FX · Film X-ray | $309.03 | $309.03 | $338.84 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $691.83 Median $1,380.38 Typical High $1,412.54 | Professional | 50 · Both sides | $691.83 | $1,380.38 | $1,412.54 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $229.09 Median $457.09 Typical High $478.63 | Professional | 51 · Multiple procedures | $229.09 | $457.09 | $478.63 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $91.20 Median $181.97 Typical High $190.55 | Professional | 80 · Assistant surgeon | $91.20 | $181.97 | $190.55 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $64.57 Median $128.82 Typical High $131.83 | Professional | 81 · Minimal assistant surgeon | $64.57 | $128.82 | $131.83 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $64.57 Median $128.82 Typical High $131.83 | Professional | 82 · Assistant surgeon, no resident | $64.57 | $128.82 | $131.83 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $64.57 Median $128.82 Typical High $131.83 | Professional | AS · PA/NP assist | $64.57 | $128.82 | $131.83 |
Where South Carolina sits
The same service costs 5.4 times more in Wyoming than in Texas. 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
$389
WY $1,259TX $234
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.