How much rates vary
Facilitymedian $550 · 10th to 90th $195 to $1,072Professionalmedian $126 · 10th to 90th $98 to $195
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 $109.65 Median $109.65 Typical High $194.98 | Facility | None | $109.65 | $109.65 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $125.89 | Professional | None (both parts) | $109.65 | $109.65 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $22.91 | Professional | 26 · Professional part | $19.95 | $19.95 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $100.00 | Professional | TC · Technical part | $91.20 | $91.20 | $100.00 |
BCBS South Carolina Setting Facility Modifier None Typical Low $288.40 Median $588.84 Typical High $1,096.48 | Facility | None | $288.40 | $588.84 | $1,096.48 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | TC · Technical part | $229.09 | $229.09 | $229.09 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $107.15 Median $128.82 Typical High $177.83 | Professional | None (both parts) | $107.15 | $128.82 | $177.83 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $45.71 Typical High $57.54 | Professional | 26 · Professional part | $21.88 | $45.71 | $57.54 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $100.00 Typical High $123.03 | Professional | TC · Technical part | $63.10 | $100.00 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $660.69 Typical High $954.99 | Facility | None | $478.63 | $660.69 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $114.82 Typical High $223.87 | Professional | None (both parts) | $95.50 | $114.82 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $27.54 Typical High $47.86 | Professional | 26 · Professional part | $22.39 | $27.54 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $89.13 Typical High $181.97 | Professional | TC · Technical part | $72.44 | $89.13 | $181.97 |
Medcost Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Medcost Setting Facility Modifier None Typical Low $83.18 Median $144.54 Typical High $660.69 | Facility | None | $83.18 | $144.54 | $660.69 |
Medcost Setting Professional Modifier None (both parts) Typical Low $141.25 Median $144.54 Typical High $177.83 | Professional | None (both parts) | $141.25 | $144.54 | $177.83 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $40.74 Typical High $60.26 | Professional | 26 · Professional part | $34.67 | $40.74 | $60.26 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $114.82 Typical High $194.98 | Professional | TC · Technical part | $109.65 | $114.82 | $194.98 |
Molina Setting Professional Modifier None (both parts) Typical Low $97.72 Median $131.83 Typical High $186.21 | Professional | None (both parts) | $97.72 | $131.83 | $186.21 |
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 $93.33 Median $128.82 Typical High $251.19 | Professional | None (both parts) | $93.33 | $128.82 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $27.54 Typical High $50.12 | Professional | 26 · Professional part | $21.88 | $27.54 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $102.33 Typical High $204.17 | Professional | TC · Technical part | $70.79 | $102.33 | $204.17 |
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 $54.95 Median $54.95 Typical High $60.26 | Professional | 52 · Reduced service | $54.95 | $54.95 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $23.99 | Professional | 53 · Discontinued | $22.39 | $22.39 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $89.13 Typical High $95.50 | Professional | FX · Film X-ray | $89.13 | $89.13 | $95.50 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $70.79 Median $72.44 Typical High $117.49 | Professional | 51 · Multiple procedures | $70.79 | $72.44 | $117.49 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $28.18 Median $29.51 Typical High $47.86 | Professional | 80 · Assistant surgeon | $28.18 | $29.51 | $47.86 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $19.95 Median $20.42 Typical High $33.11 | Professional | 81 · Minimal assistant surgeon | $19.95 | $20.42 | $33.11 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $19.95 Median $20.42 Typical High $33.11 | Professional | 82 · Assistant surgeon, no resident | $19.95 | $20.42 | $33.11 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $19.95 Median $20.42 Typical High $33.11 | Professional | AS · PA/NP assist | $19.95 | $20.42 | $33.11 |
Where South Carolina sits
The same service costs 4.2 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· 32nd of 51
$135
AK $398UT $95.50
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.