How much rates vary
Facilitymedian $363 · 10th to 90th $117 to $617Professionalmedian $219 · 10th to 90th $132 to $339
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 $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $229.09 | Professional | None (both parts) | $208.93 | $208.93 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $93.33 | Professional | 26 · Professional part | $85.11 | $85.11 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $141.25 | Professional | TC · Technical part | $125.89 | $125.89 | $141.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $81.28 | $81.28 | $81.28 |
BCBS South Carolina Setting Facility Modifier None Typical Low $208.93 Median $407.38 Typical High $588.84 | Facility | None | $208.93 | $407.38 | $588.84 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | TC · Technical part | $213.80 | $213.80 | $213.80 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $213.80 Median $251.19 Typical High $275.42 | Professional | None (both parts) | $213.80 | $251.19 | $275.42 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $114.82 Typical High $141.25 | Professional | 26 · Professional part | $100.00 | $114.82 | $141.25 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $114.82 Typical High $162.18 | Professional | TC · Technical part | $100.00 | $114.82 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $173.78 Typical High $977.24 | Facility | None | $109.65 | $173.78 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $204.17 Typical High $363.08 | Professional | None (both parts) | $186.21 | $204.17 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $102.33 Typical High $158.49 | Professional | 26 · Professional part | $91.20 | $102.33 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $97.72 Typical High $213.80 | Professional | TC · Technical part | $93.33 | $97.72 | $213.80 |
Medcost Setting Professional Modifier None Typical Low $288.40 Median $309.03 Typical High $575.44 | Professional | None | $288.40 | $309.03 | $575.44 |
Medcost Setting Facility Modifier None Typical Low $117.49 Median $177.83 Typical High $309.03 | Facility | None | $117.49 | $177.83 | $309.03 |
Medcost Setting Professional Modifier None (both parts) Typical Low $251.19 Median $288.40 Typical High $331.13 | Professional | None (both parts) | $251.19 | $288.40 | $331.13 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $169.82 Typical High $169.82 | Professional | 26 · Professional part | $128.82 | $169.82 | $169.82 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $128.82 Typical High $257.04 | Professional | TC · Technical part | $120.23 | $128.82 | $257.04 |
Molina Setting Professional Modifier None (both parts) Typical Low $107.15 Median $199.53 Typical High $389.05 | Professional | None (both parts) | $107.15 | $199.53 | $389.05 |
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 $181.97 Median $229.09 Typical High $323.59 | Professional | None (both parts) | $181.97 | $229.09 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $102.33 Typical High $162.18 | Professional | 26 · Professional part | $83.18 | $102.33 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $128.82 Typical High $173.78 | Professional | TC · Technical part | $87.10 | $128.82 | $173.78 |
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 $104.71 Median $104.71 Typical High $114.82 | Professional | 52 · Reduced service | $104.71 | $104.71 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $45.71 | Professional | 53 · Discontinued | $42.66 | $42.66 | $45.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $169.82 Typical High $181.97 | Professional | FX · Film X-ray | $169.82 | $169.82 | $181.97 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $125.89 Median $158.49 Typical High $181.97 | Professional | 51 · Multiple procedures | $125.89 | $158.49 | $181.97 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $51.29 Median $64.57 Typical High $72.44 | Professional | 80 · Assistant surgeon | $51.29 | $64.57 | $72.44 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $35.48 Median $44.67 Typical High $51.29 | Professional | 81 · Minimal assistant surgeon | $35.48 | $44.67 | $51.29 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $35.48 Median $44.67 Typical High $51.29 | Professional | 82 · Assistant surgeon, no resident | $35.48 | $44.67 | $51.29 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $35.48 Median $44.67 Typical High $51.29 | Professional | AS · PA/NP assist | $35.48 | $44.67 | $51.29 |
Where South Carolina sits
The same service costs 5.4 times more in Alaska than in Texas. 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· 43rd of 51
$224
AK $741TX $138
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.