How much rates vary
Facilitymedian $115 · 10th to 90th $95 to $1,549Professionalmedian $141 · 10th to 90th $87 to $331
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 $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $104.71 | Professional | None (both parts) | $95.50 | $95.50 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $37.15 | Professional | 26 · Professional part | $35.48 | $35.48 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $66.07 | Professional | TC · Technical part | $60.26 | $60.26 | $66.07 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $120.23 Median $281.84 Typical High $331.13 | Professional | None (both parts) | $120.23 | $281.84 | $331.13 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $57.54 Typical High $190.55 | Professional | 26 · Professional part | $37.15 | $57.54 | $190.55 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $95.50 Typical High $95.50 | Professional | TC · Technical part | $81.28 | $95.50 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $120.23 Typical High $239.88 | Professional | None (both parts) | $114.82 | $120.23 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $43.65 Typical High $66.07 | Professional | 26 · Professional part | $39.81 | $43.65 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $77.62 Typical High $131.83 | Professional | TC · Technical part | $75.86 | $77.62 | $131.83 |
Medcost Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $426.58 | Professional | None | $398.11 | $398.11 | $426.58 |
Medcost Setting Facility Modifier None Typical Low $95.50 Median $123.03 Typical High $467.74 | Facility | None | $95.50 | $123.03 | $467.74 |
Medcost Setting Professional Modifier None (both parts) Typical Low $131.83 Median $173.78 Typical High $436.52 | Professional | None (both parts) | $131.83 | $173.78 | $436.52 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $70.79 Typical High $93.33 | Professional | 26 · Professional part | $57.54 | $70.79 | $93.33 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $123.03 Typical High $162.18 | Professional | TC · Technical part | $112.20 | $123.03 | $162.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $41.69 Typical High $66.07 | Professional | None (both parts) | $33.11 | $41.69 | $66.07 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $245.47 Typical High $407.38 | Professional | None (both parts) | $194.98 | $245.47 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $42.66 Typical High $72.44 | Professional | 26 · Professional part | $35.48 | $42.66 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $204.17 Typical High $338.84 | Professional | TC · Technical part | $165.96 | $204.17 | $338.84 |
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 $47.86 Median $47.86 Typical High $52.48 | Professional | 52 · Reduced service | $47.86 | $47.86 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $20.89 | Professional | 53 · Discontinued | $19.05 | $19.05 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $75.86 Typical High $83.18 | Professional | FX · Film X-ray | $75.86 | $75.86 | $83.18 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $83.18 Median $89.13 Typical High $213.80 | Professional | 51 · Multiple procedures | $83.18 | $89.13 | $213.80 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $33.11 Median $36.31 Typical High $87.10 | Professional | 80 · Assistant surgeon | $33.11 | $36.31 | $87.10 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $22.91 Median $25.12 Typical High $60.26 | Professional | 81 · Minimal assistant surgeon | $22.91 | $25.12 | $60.26 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $22.91 Median $25.12 Typical High $60.26 | Professional | 82 · Assistant surgeon, no resident | $22.91 | $25.12 | $60.26 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $22.91 Median $25.12 Typical High $60.26 | Professional | AS · PA/NP assist | $22.91 | $25.12 | $60.26 |
Where South Carolina sits
The same service costs 5.2 times more in North Dakota 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· 39th of 51
$141
ND $457FL $87.10
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.