How much rates vary
Facilitymedian $1,778 · 10th to 90th $603 to $3,236Professionalmedian $398 · 10th to 90th $132 to $1,047
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 $416.87 Median $524.81 Typical High $3,311.31 | Facility | None | $416.87 | $524.81 | $3,311.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $416.87 Typical High $616.60 | Professional | None (both parts) | $416.87 | $416.87 | $616.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $125.89 Typical High $165.96 | Professional | 26 · Professional part | $104.71 | $125.89 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $288.40 Typical High $457.09 | Professional | TC · Technical part | $281.84 | $288.40 | $457.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $316.23 Median $346.74 Typical High $575.44 | Professional | None (both parts) | $316.23 | $346.74 | $575.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $109.65 Typical High $181.97 | Professional | 26 · Professional part | $79.43 | $109.65 | $181.97 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $302.00 | Professional | TC · Technical part | $218.78 | $218.78 | $302.00 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,071.52 Median $1,949.84 Typical High $3,235.94 | Facility | None | $1,071.52 | $1,949.84 | $3,235.94 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | TC · Technical part | $1,047.13 | $1,047.13 | $1,047.13 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $316.23 Median $660.69 Typical High $1,047.13 | Professional | None (both parts) | $316.23 | $660.69 | $1,047.13 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $100.00 Typical High $302.00 | Professional | 26 · Professional part | $93.33 | $100.00 | $302.00 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $398.11 Typical High $954.99 | Professional | TC · Technical part | $218.78 | $398.11 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,445.44 Typical High $1,949.84 | Facility | None | $933.25 | $1,445.44 | $1,949.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $851.14 Typical High $1,318.26 | Professional | None (both parts) | $467.74 | $851.14 | $1,318.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $125.89 Typical High $223.87 | Professional | 26 · Professional part | $102.33 | $125.89 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $758.58 Typical High $1,122.02 | Professional | TC · Technical part | $295.12 | $758.58 | $1,122.02 |
Medcost Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Medcost Setting Facility Modifier None Typical Low $416.87 Median $616.60 Typical High $1,258.93 | Facility | None | $416.87 | $616.60 | $1,258.93 |
Medcost Setting Professional Modifier None (both parts) Typical Low $398.11 Median $912.01 Typical High $1,659.59 | Professional | None (both parts) | $398.11 | $912.01 | $1,659.59 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $190.55 Typical High $380.19 | Professional | 26 · Professional part | $162.18 | $190.55 | $380.19 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $741.31 Typical High $891.25 | Professional | TC · Technical part | $407.38 | $741.31 | $891.25 |
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 $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 $363.08 Median $645.65 Typical High $1,445.44 | Professional | None (both parts) | $363.08 | $645.65 | $1,445.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $125.89 Typical High $223.87 | Professional | 26 · Professional part | $100.00 | $125.89 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $457.09 Typical High $1,258.93 | Professional | TC · Technical part | $257.04 | $457.09 | $1,258.93 |
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 $173.78 Median $208.93 Typical High $213.80 | Professional | 52 · Reduced service | $173.78 | $208.93 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $83.18 Typical High $85.11 | Professional | 53 · Discontinued | $69.18 | $83.18 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $331.13 Median $331.13 Typical High $338.84 | Professional | FX · Film X-ray | $331.13 | $331.13 | $338.84 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $251.19 Median $457.09 Typical High $812.83 | Professional | 51 · Multiple procedures | $251.19 | $457.09 | $812.83 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $100.00 Median $181.97 Typical High $331.13 | Professional | 80 · Assistant surgeon | $100.00 | $181.97 | $331.13 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $69.18 Median $125.89 Typical High $229.09 | Professional | 81 · Minimal assistant surgeon | $69.18 | $125.89 | $229.09 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $69.18 Median $125.89 Typical High $229.09 | Professional | 82 · Assistant surgeon, no resident | $69.18 | $125.89 | $229.09 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $69.18 Median $125.89 Typical High $229.09 | Professional | AS · PA/NP assist | $69.18 | $125.89 | $229.09 |
Where South Carolina sits
The same service costs 5.8 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
$417
WY $1,349UT $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.