How much rates vary
Facilitymedian $355 · 10th to 90th $162 to $631Professionalmedian $145 · 10th to 90th $93 to $229
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 $128.82 Median $128.82 Typical High $223.87 | Facility | None | $128.82 | $128.82 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $128.82 Typical High $181.97 | Professional | None (both parts) | $125.89 | $128.82 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $41.69 Typical High $54.95 | Professional | 26 · Professional part | $34.67 | $41.69 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $125.89 | Professional | TC · Technical part | $85.11 | $85.11 | $125.89 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $51.29 Typical High $85.11 | Professional | 26 · Professional part | $46.77 | $51.29 | $85.11 |
BCBS South Carolina Setting Facility Modifier None Typical Low $190.55 Median $346.74 Typical High $588.84 | Facility | None | $190.55 | $346.74 | $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 $123.03 Median $144.54 Typical High $194.98 | Professional | None (both parts) | $123.03 | $144.54 | $194.98 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $50.12 Typical High $67.61 | Professional | 26 · Professional part | $46.77 | $50.12 | $67.61 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $93.33 Typical High $125.89 | Professional | TC · Technical part | $77.62 | $93.33 | $125.89 |
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 $120.23 Median $147.91 Typical High $275.42 | Professional | None (both parts) | $120.23 | $147.91 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $40.74 Typical High $85.11 | Professional | 26 · Professional part | $31.62 | $40.74 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $104.71 Typical High $218.78 | Professional | TC · Technical part | $77.62 | $104.71 | $218.78 |
Medcost Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
Medcost Setting Facility Modifier None Typical Low $93.33 Median $173.78 Typical High $407.38 | Facility | None | $93.33 | $173.78 | $407.38 |
Medcost Setting Professional Modifier None (both parts) Typical Low $134.90 Median $158.49 Typical High $208.93 | Professional | None (both parts) | $134.90 | $158.49 | $208.93 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $57.54 Typical High $89.13 | Professional | 26 · Professional part | $48.98 | $57.54 | $89.13 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $123.03 Typical High $239.88 | Professional | TC · Technical part | $109.65 | $123.03 | $239.88 |
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 $123.03 Median $158.49 Typical High $309.03 | Professional | None (both parts) | $123.03 | $158.49 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $51.29 Typical High $95.50 | Professional | 26 · Professional part | $32.36 | $51.29 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $114.82 Typical High $199.53 | Professional | TC · Technical part | $93.33 | $114.82 | $199.53 |
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 $63.10 Median $63.10 Typical High $69.18 | Professional | 52 · Reduced service | $63.10 | $63.10 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $27.54 | Professional | 53 · Discontinued | $25.70 | $25.70 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $102.33 Typical High $112.20 | Professional | FX · Film X-ray | $102.33 | $102.33 | $112.20 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $67.61 Median $83.18 Typical High $158.49 | Professional | 51 · Multiple procedures | $67.61 | $83.18 | $158.49 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $26.92 Median $33.11 Typical High $63.10 | Professional | 80 · Assistant surgeon | $26.92 | $33.11 | $63.10 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $18.62 Median $23.44 Typical High $43.65 | Professional | 81 · Minimal assistant surgeon | $18.62 | $23.44 | $43.65 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $18.62 Median $23.44 Typical High $43.65 | Professional | 82 · Assistant surgeon, no resident | $18.62 | $23.44 | $43.65 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $18.62 Median $23.44 Typical High $43.65 | Professional | AS · PA/NP assist | $18.62 | $23.44 | $43.65 |
Where South Carolina sits
The same service costs 4.3 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· 39th of 51
$151
AK $447UT $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.