How much rates vary
Facilitymedian $1,479 · 10th to 90th $575 to $2,570Professionalmedian $363 · 10th to 90th $129 to $617
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 $371.54 Median $1,949.84 Typical High $3,311.31 | Facility | None | $371.54 | $1,949.84 | $3,311.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $371.54 Typical High $524.81 | Professional | None (both parts) | $323.59 | $371.54 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $100.00 Typical High $141.25 | Professional | 26 · Professional part | $85.11 | $100.00 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $269.15 Typical High $371.54 | Professional | TC · Technical part | $239.88 | $269.15 | $371.54 |
BCBS South Carolina Setting Facility Modifier None Typical Low $776.25 Median $1,479.11 Typical High $2,570.40 | Facility | None | $776.25 | $1,479.11 | $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 $281.84 Median $457.09 Typical High $616.60 | Professional | None (both parts) | $281.84 | $457.09 | $616.60 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $77.62 Typical High $190.55 | Professional | 26 · Professional part | $70.79 | $77.62 | $190.55 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $295.12 Typical High $512.86 | Professional | TC · Technical part | $204.17 | $295.12 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,380.38 Typical High $1,778.28 | Facility | None | $870.96 | $1,380.38 | $1,778.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $602.56 Typical High $891.25 | Professional | None (both parts) | $416.87 | $602.56 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $95.50 Typical High $173.78 | Professional | 26 · Professional part | $79.43 | $95.50 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $524.81 Typical High $724.44 | Professional | TC · Technical part | $281.84 | $524.81 | $724.44 |
Medcost Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
Medcost Setting Facility Modifier None Typical Low $371.54 Median $501.19 Typical High $1,047.13 | Facility | None | $371.54 | $501.19 | $1,047.13 |
Medcost Setting Professional Modifier None (both parts) Typical Low $354.81 Median $707.95 Typical High $933.25 | Professional | None (both parts) | $354.81 | $707.95 | $933.25 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $144.54 Typical High $257.04 | Professional | 26 · Professional part | $123.03 | $144.54 | $257.04 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $562.34 Typical High $851.14 | Professional | TC · Technical part | $380.19 | $562.34 | $851.14 |
Molina Setting Professional Modifier None (both parts) Typical Low $114.82 Median $281.84 Typical High $478.63 | Professional | None (both parts) | $114.82 | $281.84 | $478.63 |
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 $331.13 Median $549.54 Typical High $977.24 | Professional | None (both parts) | $331.13 | $549.54 | $977.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $97.72 Typical High $173.78 | Professional | 26 · Professional part | $77.62 | $97.72 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $426.58 Typical High $851.14 | Professional | TC · Technical part | $245.47 | $426.58 | $851.14 |
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 $154.88 Median $186.21 Typical High $213.80 | Professional | 52 · Reduced service | $154.88 | $186.21 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $74.13 Typical High $85.11 | Professional | 53 · Discontinued | $61.66 | $74.13 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $295.12 Typical High $338.84 | Professional | FX · Film X-ray | $295.12 | $295.12 | $338.84 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $223.87 Median $371.54 Typical High $467.74 | Professional | 51 · Multiple procedures | $223.87 | $371.54 | $467.74 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $89.13 Median $141.25 Typical High $186.21 | Professional | 80 · Assistant surgeon | $89.13 | $141.25 | $186.21 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $61.66 Median $100.00 Typical High $131.83 | Professional | 81 · Minimal assistant surgeon | $61.66 | $100.00 | $131.83 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $61.66 Median $100.00 Typical High $131.83 | Professional | 82 · Assistant surgeon, no resident | $61.66 | $100.00 | $131.83 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $61.66 Median $100.00 Typical High $131.83 | Professional | AS · PA/NP assist | $61.66 | $100.00 | $131.83 |
Where South Carolina sits
The same service costs 5.6 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
$372
WY $1,230UT $219
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.