How much rates vary
Facilitymedian $372 · 10th to 90th $148 to $603Professionalmedian $141 · 10th to 90th $93 to $224
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 $114.82 Median $147.91 Typical High $204.17 | Facility | None | $114.82 | $147.91 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $173.78 | Professional | None (both parts) | $114.82 | $114.82 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $36.31 Typical High $54.95 | Professional | 26 · Professional part | $33.88 | $36.31 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $125.89 | Professional | TC · Technical part | $79.43 | $79.43 | $125.89 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $63.10 | Professional | 26 · Professional part | $40.74 | $40.74 | $63.10 |
BCBS South Carolina Setting Facility Modifier None Typical Low $194.98 Median $354.81 Typical High $588.84 | Facility | None | $194.98 | $354.81 | $588.84 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | TC · Technical part | $177.83 | $177.83 | $177.83 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $120.23 Median $134.90 Typical High $181.97 | Professional | None (both parts) | $120.23 | $134.90 | $181.97 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $58.88 Typical High $77.62 | Professional | 26 · Professional part | $40.74 | $58.88 | $77.62 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $85.11 Typical High $104.71 | Professional | TC · Technical part | $63.10 | $85.11 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $549.54 Typical High $933.25 | Facility | None | $478.63 | $549.54 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $131.83 Typical High $245.47 | Professional | None (both parts) | $104.71 | $131.83 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $39.81 Typical High $74.13 | Professional | 26 · Professional part | $31.62 | $39.81 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $87.10 Typical High $181.97 | Professional | TC · Technical part | $74.13 | $87.10 | $181.97 |
Medcost Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None | $239.88 | $239.88 | $239.88 |
Medcost Setting Facility Modifier None Typical Low $91.20 Median $144.54 Typical High $309.03 | Facility | None | $91.20 | $144.54 | $309.03 |
Medcost Setting Professional Modifier None (both parts) Typical Low $147.91 Median $154.88 Typical High $186.21 | Professional | None (both parts) | $147.91 | $154.88 | $186.21 |
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 $109.65 Median $109.65 Typical High $190.55 | Professional | TC · Technical part | $109.65 | $109.65 | $190.55 |
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 $107.15 Median $144.54 Typical High $263.03 | Professional | None (both parts) | $107.15 | $144.54 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $45.71 Typical High $83.18 | Professional | 26 · Professional part | $32.36 | $45.71 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $100.00 Typical High $181.97 | Professional | TC · Technical part | $74.13 | $100.00 | $181.97 |
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 $57.54 Median $57.54 Typical High $63.10 | Professional | 52 · Reduced service | $57.54 | $57.54 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $25.12 | Professional | 53 · Discontinued | $22.91 | $22.91 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $93.33 Typical High $100.00 | Professional | FX · Film X-ray | $93.33 | $93.33 | $100.00 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $74.13 Median $81.28 Typical High $131.83 | Professional | 51 · Multiple procedures | $74.13 | $81.28 | $131.83 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $29.51 Median $31.62 Typical High $53.70 | Professional | 80 · Assistant surgeon | $29.51 | $31.62 | $53.70 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $20.89 Median $22.39 Typical High $37.15 | Professional | 81 · Minimal assistant surgeon | $20.89 | $22.39 | $37.15 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $20.89 Median $22.39 Typical High $37.15 | Professional | 82 · Assistant surgeon, no resident | $20.89 | $22.39 | $37.15 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $20.89 Median $22.39 Typical High $37.15 | Professional | AS · PA/NP assist | $20.89 | $22.39 | $37.15 |
Where South Carolina sits
The same service costs 3.9 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· 33rd of 51
$145
AK $407UT $105
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.