How much rates vary
Facilitymedian $257 · 10th to 90th $78 to $490Professionalmedian $52 · 10th to 90th $38 to $83
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 $40.74 Median $51.29 Typical High $74.13 | Facility | None | $40.74 | $51.29 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $66.07 | Professional | None (both parts) | $40.74 | $40.74 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.18 Typical High $21.88 | Professional | 26 · Professional part | $13.18 | $13.18 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $27.54 Typical High $44.67 | Professional | TC · Technical part | $27.54 | $27.54 | $44.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $31.62 Median $39.81 Typical High $46.77 | Professional | None (both parts) | $31.62 | $39.81 | $46.77 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $16.22 Typical High $26.92 | Professional | 26 · Professional part | $14.79 | $16.22 | $26.92 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $58.88 | Professional | TC · Technical part | $44.67 | $44.67 | $58.88 |
BCBS South Carolina Setting Facility Modifier None Typical Low $125.89 Median $275.42 Typical High $489.78 | Facility | None | $125.89 | $275.42 | $489.78 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | TC · Technical part | $102.33 | $102.33 | $102.33 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $46.77 Median $57.54 Typical High $91.20 | Professional | None (both parts) | $46.77 | $57.54 | $91.20 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $36.31 Typical High $46.77 | Professional | 26 · Professional part | $14.79 | $36.31 | $46.77 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $31.62 Typical High $46.77 | Professional | TC · Technical part | $18.20 | $31.62 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $309.03 Typical High $562.34 | Facility | None | $208.93 | $309.03 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $50.12 Typical High $93.33 | Professional | None (both parts) | $42.66 | $50.12 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $17.78 Typical High $31.62 | Professional | 26 · Professional part | $14.45 | $17.78 | $31.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $31.62 Typical High $63.10 | Professional | TC · Technical part | $28.18 | $31.62 | $63.10 |
Medcost Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
Medcost Setting Facility Modifier None Typical Low $40.74 Median $54.95 Typical High $275.42 | Facility | None | $40.74 | $54.95 | $275.42 |
Medcost Setting Professional Modifier None (both parts) Typical Low $56.23 Median $67.61 Typical High $81.28 | Professional | None (both parts) | $56.23 | $67.61 | $81.28 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.92 Typical High $38.02 | Professional | 26 · Professional part | $22.39 | $26.92 | $38.02 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $44.67 Typical High $58.88 | Professional | TC · Technical part | $40.74 | $44.67 | $58.88 |
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 $436.52 Median $537.03 Typical High $691.83 | Facility | None | $436.52 | $537.03 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $41.69 Median $54.95 Typical High $95.50 | Professional | None (both parts) | $41.69 | $54.95 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $18.20 Typical High $33.11 | Professional | 26 · Professional part | $14.13 | $18.20 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $35.48 Typical High $63.10 | Professional | TC · Technical part | $26.92 | $35.48 | $63.10 |
8 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 $20.42 Median $20.42 Typical High $21.88 | Professional | 52 · Reduced service | $20.42 | $20.42 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.13 Typical High $8.71 | Professional | 53 · Discontinued | $8.13 | $8.13 | $8.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $32.36 Median $32.36 Typical High $34.67 | Professional | FX · Film X-ray | $32.36 | $32.36 | $34.67 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $28.18 Median $35.48 Typical High $48.98 | Professional | 51 · Multiple procedures | $28.18 | $35.48 | $48.98 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $11.22 Median $14.13 Typical High $19.50 | Professional | 80 · Assistant surgeon | $11.22 | $14.13 | $19.50 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.76 Median $10.00 Typical High $13.80 | Professional | 81 · Minimal assistant surgeon | $7.76 | $10.00 | $13.80 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.76 Median $10.00 Typical High $13.80 | Professional | 82 · Assistant surgeon, no resident | $7.76 | $10.00 | $13.80 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $7.76 Median $10.00 Typical High $13.80 | Professional | AS · PA/NP assist | $7.76 | $10.00 | $13.80 |
Where South Carolina sits
The same service costs 4.5 times more in Alaska 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· 32nd of 51
$54.95
AK $148UT $33.11
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.