How much rates vary
Facilitymedian $339 · 10th to 90th $129 to $603Professionalmedian $132 · 10th to 90th $89 to $214
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 $102.33 Median $128.82 Typical High $181.97 | Facility | None | $102.33 | $128.82 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $151.36 | Professional | None (both parts) | $102.33 | $102.33 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $43.65 | Professional | 26 · Professional part | $32.36 | $32.36 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $102.33 | Professional | TC · Technical part | $69.18 | $69.18 | $102.33 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $40.74 Typical High $67.61 | Professional | 26 · Professional part | $37.15 | $40.74 | $67.61 |
BCBS South Carolina Setting Facility Modifier None Typical Low $181.97 Median $338.84 Typical High $602.56 | Facility | None | $181.97 | $338.84 | $602.56 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | TC · Technical part | $151.36 | $151.36 | $151.36 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $112.20 Median $123.03 Typical High $162.18 | Professional | None (both parts) | $112.20 | $123.03 | $162.18 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $46.77 Typical High $61.66 | Professional | 26 · Professional part | $37.15 | $46.77 | $61.66 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $77.62 Typical High $100.00 | Professional | TC · Technical part | $66.07 | $77.62 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $512.86 Typical High $933.25 | Facility | None | $478.63 | $512.86 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $117.49 Typical High $218.78 | Professional | None (both parts) | $93.33 | $117.49 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $39.81 Typical High $69.18 | Professional | 26 · Professional part | $31.62 | $39.81 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $75.86 Typical High $154.88 | Professional | TC · Technical part | $61.66 | $75.86 | $154.88 |
Medcost Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
Medcost Setting Facility Modifier None Typical Low $85.11 Median $138.04 Typical High $309.03 | Facility | None | $85.11 | $138.04 | $309.03 |
Medcost Setting Professional Modifier None (both parts) Typical Low $123.03 Median $144.54 Typical High $165.96 | Professional | None (both parts) | $123.03 | $144.54 | $165.96 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $57.54 Typical High $77.62 | Professional | 26 · Professional part | $48.98 | $57.54 | $77.62 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $95.50 Typical High $162.18 | Professional | TC · Technical part | $93.33 | $95.50 | $162.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $54.95 Median $144.54 Typical High $229.09 | Professional | None (both parts) | $54.95 | $144.54 | $229.09 |
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 $93.33 Median $131.83 Typical High $234.42 | Professional | None (both parts) | $93.33 | $131.83 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $41.69 Typical High $79.43 | Professional | 26 · Professional part | $32.36 | $41.69 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $87.10 Typical High $154.88 | Professional | TC · Technical part | $60.26 | $87.10 | $154.88 |
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 $51.29 Median $51.29 Typical High $54.95 | Professional | 52 · Reduced service | $51.29 | $51.29 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $21.88 | Professional | 53 · Discontinued | $20.42 | $20.42 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $81.28 Typical High $89.13 | Professional | FX · Film X-ray | $81.28 | $81.28 | $89.13 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $61.66 Median $72.44 Typical High $120.23 | Professional | 51 · Multiple procedures | $61.66 | $72.44 | $120.23 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $24.55 Median $28.84 Typical High $47.86 | Professional | 80 · Assistant surgeon | $24.55 | $28.84 | $47.86 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $17.38 Median $19.95 Typical High $33.11 | Professional | 81 · Minimal assistant surgeon | $17.38 | $19.95 | $33.11 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $17.38 Median $19.95 Typical High $33.11 | Professional | 82 · Assistant surgeon, no resident | $17.38 | $19.95 | $33.11 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $17.38 Median $19.95 Typical High $33.11 | Professional | AS · PA/NP assist | $17.38 | $19.95 | $33.11 |
Where South Carolina sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 28th of 51
$138
AK $363FL $97.72
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.