How much rates vary
Facilitymedian $59 · 10th to 90th $54 to $145Professionalmedian $102 · 10th to 90th $54 to $204
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $67.61 | Professional | None (both parts) | $53.70 | $53.70 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.50 Typical High $26.92 | Professional | 26 · Professional part | $19.50 | $19.50 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $44.67 | Professional | TC · Technical part | $33.88 | $33.88 | $44.67 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $87.10 Median $186.21 Typical High $199.53 | Professional | None (both parts) | $87.10 | $186.21 | $199.53 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $70.79 Typical High $114.82 | Professional | 26 · Professional part | $23.44 | $70.79 | $114.82 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $72.44 Typical High $79.43 | Professional | TC · Technical part | $17.38 | $72.44 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $154.88 | Professional | None (both parts) | $93.33 | $93.33 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $33.11 Typical High $51.29 | Professional | 26 · Professional part | $32.36 | $33.11 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $102.33 | Professional | TC · Technical part | $60.26 | $60.26 | $102.33 |
Medcost Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $239.88 | Professional | None | $223.87 | $223.87 | $239.88 |
Medcost Setting Facility Modifier None Typical Low $53.70 Median $64.57 Typical High $144.54 | Facility | None | $53.70 | $64.57 | $144.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $74.13 Median $141.25 Typical High $245.47 | Professional | None (both parts) | $74.13 | $141.25 | $245.47 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $50.12 Typical High $72.44 | Professional | 26 · Professional part | $39.81 | $50.12 | $72.44 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $89.13 Typical High $104.71 | Professional | TC · Technical part | $67.61 | $89.13 | $104.71 |
Molina Setting Professional Modifier None (both parts) Typical Low $13.80 Median $21.88 Typical High $23.99 | Professional | None (both parts) | $13.80 | $21.88 | $23.99 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $251.19 | Professional | None (both parts) | $131.83 | $165.96 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $34.67 Typical High $56.23 | Professional | 26 · Professional part | $27.54 | $34.67 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $134.90 Typical High $190.55 | Professional | TC · Technical part | $104.71 | $134.90 | $190.55 |
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 $26.92 Median $26.92 Typical High $33.11 | Professional | 52 · Reduced service | $26.92 | $26.92 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $13.18 | Professional | 53 · Discontinued | $10.72 | $10.72 | $13.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $42.66 Median $42.66 Typical High $45.71 | Professional | FX · Film X-ray | $42.66 | $42.66 | $45.71 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $46.77 Median $70.79 Typical High $123.03 | Professional | 51 · Multiple procedures | $46.77 | $70.79 | $123.03 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $18.62 Median $28.84 Typical High $48.98 | Professional | 80 · Assistant surgeon | $18.62 | $28.84 | $48.98 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.88 Median $19.95 Typical High $34.67 | Professional | 81 · Minimal assistant surgeon | $12.88 | $19.95 | $34.67 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.88 Median $19.95 Typical High $34.67 | Professional | 82 · Assistant surgeon, no resident | $12.88 | $19.95 | $34.67 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $12.88 Median $19.95 Typical High $34.67 | Professional | AS · PA/NP assist | $12.88 | $19.95 | $34.67 |
Where South Carolina sits
The same service costs 6.6 times more in Nebraska 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· 42nd of 51
$102
NE $363FL $54.95
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.