How much rates vary
Facilitymedian $617 · 10th to 90th $275 to $1,622Professionalmedian $117 · 10th to 90th $69 to $550
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 $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $416.87 | Professional | None (both parts) | $398.11 | $398.11 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $19.95 | Professional | 26 · Professional part | $18.62 | $18.62 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $398.11 Typical High $416.87 | Professional | TC · Technical part | $398.11 | $398.11 | $416.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 26 · Professional part | $21.38 | $21.38 | $21.38 |
BCBS South Carolina Setting Facility Modifier None Typical Low $295.12 Median $616.60 Typical High $1,288.25 | Facility | None | $295.12 | $616.60 | $1,288.25 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | TC · Technical part | $208.93 | $208.93 | $208.93 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $75.86 Median $87.10 Typical High $489.78 | Professional | None (both parts) | $75.86 | $87.10 | $489.78 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $21.38 Typical High $26.30 | Professional | 26 · Professional part | $10.72 | $21.38 | $26.30 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $194.98 Typical High $489.78 | Professional | TC · Technical part | $50.12 | $194.98 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $1,445.44 Typical High $2,884.03 | Facility | None | $199.53 | $1,445.44 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $70.79 Typical High $134.90 | Professional | None (both parts) | $61.66 | $70.79 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $26.92 Typical High $46.77 | Professional | 26 · Professional part | $21.88 | $26.92 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $46.77 Typical High $79.43 | Professional | TC · Technical part | $36.31 | $46.77 | $79.43 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $45.71 | $45.71 | $45.71 |
Medcost Setting Facility Modifier None Typical Low $69.18 Median $426.58 Typical High $537.03 | Facility | None | $69.18 | $426.58 | $537.03 |
Medcost Setting Professional Modifier None (both parts) Typical Low $117.49 Median $208.93 Typical High $758.58 | Professional | None (both parts) | $117.49 | $208.93 | $758.58 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $39.81 Typical High $52.48 | Professional | 26 · Professional part | $34.67 | $39.81 | $52.48 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $229.09 Typical High $1,000.00 | Professional | TC · Technical part | $79.43 | $229.09 | $1,000.00 |
United Setting Facility Modifier None Typical Low $2,290.87 Median $2,754.23 Typical High $3,630.78 | Facility | None | $2,290.87 | $2,754.23 | $3,630.78 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $457.09 Typical High $977.24 | Professional | None (both parts) | $70.79 | $457.09 | $977.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.92 Typical High $46.77 | Professional | 26 · Professional part | $21.38 | $26.92 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $436.52 Typical High $933.25 | Professional | TC · Technical part | $47.86 | $436.52 | $933.25 |
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 $199.53 Median $199.53 Typical High $208.93 | Professional | 52 · Reduced service | $199.53 | $199.53 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $83.18 | Professional | 53 · Discontinued | $81.28 | $81.28 | $83.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $323.59 Typical High $331.13 | Professional | FX · Film X-ray | $323.59 | $323.59 | $331.13 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $58.88 Median $102.33 Typical High $467.74 | Professional | 51 · Multiple procedures | $58.88 | $102.33 | $467.74 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $23.44 Median $41.69 Typical High $186.21 | Professional | 80 · Assistant surgeon | $23.44 | $41.69 | $186.21 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.22 Median $28.84 Typical High $128.82 | Professional | 81 · Minimal assistant surgeon | $16.22 | $28.84 | $128.82 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.22 Median $28.84 Typical High $128.82 | Professional | 82 · Assistant surgeon, no resident | $16.22 | $28.84 | $128.82 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $16.22 Median $28.84 Typical High $128.82 | Professional | AS · PA/NP assist | $16.22 | $28.84 | $128.82 |
Where South Carolina sits
The same service costs 11.2 times more in Colorado than in Michigan. 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· 33rd of 51
$158
CO $661MI $58.88
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.