How much rates vary
Facilitymedian $324 · 10th to 90th $112 to $575Professionalmedian $98 · 10th to 90th $66 to $162
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 $81.28 Median $81.28 Typical High $120.23 | Facility | None | $81.28 | $81.28 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $123.03 | Professional | None (both parts) | $81.28 | $81.28 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $24.55 Typical High $37.15 | Professional | 26 · Professional part | $22.91 | $24.55 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $89.13 | Professional | TC · Technical part | $57.54 | $57.54 | $89.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $29.51 Typical High $50.12 | Professional | 26 · Professional part | $21.88 | $29.51 | $50.12 |
BCBS South Carolina Setting Facility Modifier None Typical Low $169.82 Median $302.00 Typical High $575.44 | Facility | None | $169.82 | $302.00 | $575.44 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | TC · Technical part | $125.89 | $125.89 | $125.89 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $83.18 Median $93.33 Typical High $125.89 | Professional | None (both parts) | $83.18 | $93.33 | $125.89 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $35.48 Typical High $46.77 | Professional | 26 · Professional part | $26.92 | $35.48 | $46.77 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $61.66 Typical High $79.43 | Professional | TC · Technical part | $48.98 | $61.66 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $478.63 Typical High $933.25 | Facility | None | $316.23 | $478.63 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $93.33 Typical High $173.78 | Professional | None (both parts) | $74.13 | $93.33 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $28.84 Typical High $48.98 | Professional | 26 · Professional part | $21.38 | $28.84 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $60.26 Typical High $120.23 | Professional | TC · Technical part | $52.48 | $60.26 | $120.23 |
Medcost Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Medcost Setting Facility Modifier None Typical Low $63.10 Median $109.65 Typical High $309.03 | Facility | None | $63.10 | $109.65 | $309.03 |
Medcost Setting Professional Modifier None (both parts) Typical Low $100.00 Median $109.65 Typical High $131.83 | Professional | None (both parts) | $100.00 | $109.65 | $131.83 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.90 Typical High $52.48 | Professional | 26 · Professional part | $33.11 | $38.90 | $52.48 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $83.18 Typical High $134.90 | Professional | TC · Technical part | $77.62 | $83.18 | $134.90 |
Molina Setting Professional Modifier None (both parts) Typical Low $52.48 Median $102.33 Typical High $169.82 | Professional | None (both parts) | $52.48 | $102.33 | $169.82 |
United Setting Facility Modifier None Typical Low $741.31 Median $891.25 Typical High $1,174.90 | Facility | None | $741.31 | $891.25 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $102.33 Typical High $186.21 | Professional | None (both parts) | $74.13 | $102.33 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $31.62 Typical High $57.54 | Professional | 26 · Professional part | $21.38 | $31.62 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $70.79 Typical High $128.82 | Professional | TC · Technical part | $52.48 | $70.79 | $128.82 |
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 $40.74 Median $40.74 Typical High $43.65 | Professional | 52 · Reduced service | $40.74 | $40.74 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $17.78 | Professional | 53 · Discontinued | $16.22 | $16.22 | $17.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $64.57 Median $64.57 Typical High $70.79 | Professional | FX · Film X-ray | $64.57 | $64.57 | $70.79 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $48.98 Median $57.54 Typical High $95.50 | Professional | 51 · Multiple procedures | $48.98 | $57.54 | $95.50 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $19.95 Median $22.39 Typical High $38.02 | Professional | 80 · Assistant surgeon | $19.95 | $22.39 | $38.02 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $13.80 Median $15.85 Typical High $26.30 | Professional | 81 · Minimal assistant surgeon | $13.80 | $15.85 | $26.30 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $13.80 Median $15.85 Typical High $26.30 | Professional | 82 · Assistant surgeon, no resident | $13.80 | $15.85 | $26.30 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $13.80 Median $15.85 Typical High $26.30 | Professional | AS · PA/NP assist | $13.80 | $15.85 | $26.30 |
Where South Carolina sits
The same service costs 3.8 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
$102
AK $282UT $74.13
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.