How much rates vary
Facilitymedian $1,072 · 10th to 90th $562 to $2,570Professionalmedian $407 · 10th to 90th $135 to $813
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 $407.38 Median $1,949.84 Typical High $3,311.31 | Facility | None | $407.38 | $1,949.84 | $3,311.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $407.38 Typical High $562.34 | Professional | None (both parts) | $371.54 | $407.38 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $104.71 Typical High $154.88 | Professional | 26 · Professional part | $85.11 | $104.71 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $309.03 Typical High $398.11 | Professional | TC · Technical part | $275.42 | $309.03 | $398.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $89.13 | $89.13 | $89.13 |
BCBS South Carolina Setting Facility Modifier None Typical Low $741.31 Median $1,047.13 Typical High $2,570.40 | Facility | None | $741.31 | $1,047.13 | $2,570.40 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $316.23 Median $457.09 Typical High $954.99 | Professional | None (both parts) | $316.23 | $457.09 | $954.99 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $169.82 Typical High $275.42 | Professional | 26 · Professional part | $81.28 | $169.82 | $275.42 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $302.00 Typical High $691.83 | Professional | TC · Technical part | $234.42 | $302.00 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,258.93 Typical High $3,019.95 | Facility | None | $1,000.00 | $1,258.93 | $3,019.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $537.03 Typical High $912.01 | Professional | None (both parts) | $426.58 | $537.03 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $100.00 Typical High $199.53 | Professional | 26 · Professional part | $83.18 | $100.00 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $446.68 Typical High $691.83 | Professional | TC · Technical part | $316.23 | $446.68 | $691.83 |
Medcost Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
Medcost Setting Facility Modifier None Typical Low $407.38 Median $467.74 Typical High $933.25 | Facility | None | $407.38 | $467.74 | $933.25 |
Medcost Setting Professional Modifier None (both parts) Typical Low $398.11 Median $794.33 Typical High $812.83 | Professional | None (both parts) | $398.11 | $794.33 | $812.83 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $151.36 Typical High $302.00 | Professional | 26 · Professional part | $128.82 | $151.36 | $302.00 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $562.34 Typical High $741.31 | Professional | TC · Technical part | $426.58 | $562.34 | $741.31 |
Molina Setting Professional Modifier None (both parts) Typical Low $117.49 Median $323.59 Typical High $549.54 | Professional | None (both parts) | $117.49 | $323.59 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $363.08 Median $512.86 Typical High $870.96 | Professional | None (both parts) | $363.08 | $512.86 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $100.00 Typical High $181.97 | Professional | 26 · Professional part | $81.28 | $100.00 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $436.52 Typical High $741.31 | Professional | TC · Technical part | $275.42 | $436.52 | $741.31 |
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 $204.17 Typical High $213.80 | Professional | 52 · Reduced service | $173.78 | $204.17 | $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 $245.47 Median $398.11 Typical High $436.52 | Professional | 51 · Multiple procedures | $245.47 | $398.11 | $436.52 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $97.72 Median $158.49 Typical High $173.78 | Professional | 80 · Assistant surgeon | $97.72 | $158.49 | $173.78 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $69.18 Median $112.20 Typical High $120.23 | Professional | 81 · Minimal assistant surgeon | $69.18 | $112.20 | $120.23 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $69.18 Median $112.20 Typical High $120.23 | Professional | 82 · Assistant surgeon, no resident | $69.18 | $112.20 | $120.23 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $69.18 Median $112.20 Typical High $120.23 | Professional | AS · PA/NP assist | $69.18 | $112.20 | $120.23 |
Where South Carolina sits
The same service costs 5.2 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
$407
WY $1,349TX $257
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.