How much rates vary
Facilitymedian $589 · 10th to 90th $302 to $1,122Professionalmedian $155 · 10th to 90th $126 to $245
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 $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $138.04 | Professional | None (both parts) | $125.89 | $125.89 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.50 Typical High $20.89 | Professional | 26 · Professional part | $19.50 | $19.50 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $117.49 | Professional | TC · Technical part | $107.15 | $107.15 | $117.49 |
BCBS South Carolina Setting Facility Modifier None Typical Low $338.84 Median $630.96 Typical High $1,122.02 | Facility | None | $338.84 | $630.96 | $1,122.02 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | TC · Technical part | $239.88 | $239.88 | $239.88 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $125.89 Median $144.54 Typical High $204.17 | Professional | None (both parts) | $125.89 | $144.54 | $204.17 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $53.70 Typical High $74.13 | Professional | 26 · Professional part | $21.88 | $53.70 | $74.13 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $120.23 Typical High $147.91 | Professional | TC · Technical part | $67.61 | $120.23 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $588.84 Typical High $954.99 | Facility | None | $478.63 | $588.84 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $141.25 Typical High $263.03 | Professional | None (both parts) | $114.82 | $141.25 | $263.03 |
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 $91.20 Median $109.65 Typical High $223.87 | Professional | TC · Technical part | $91.20 | $109.65 | $223.87 |
Medcost Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
Medcost Setting Facility Modifier None Typical Low $97.72 Median $144.54 Typical High $398.11 | Facility | None | $97.72 | $144.54 | $398.11 |
Medcost Setting Professional Modifier None (both parts) Typical Low $165.96 Median $173.78 Typical High $204.17 | Professional | None (both parts) | $165.96 | $173.78 | $204.17 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $40.74 Typical High $67.61 | Professional | 26 · Professional part | $35.48 | $40.74 | $67.61 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $144.54 Typical High $234.42 | Professional | TC · Technical part | $138.04 | $144.54 | $234.42 |
Molina Setting Professional Modifier None (both parts) Typical Low $128.82 Median $173.78 Typical High $245.47 | Professional | None (both parts) | $128.82 | $173.78 | $245.47 |
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 $112.20 Median $154.88 Typical High $288.40 | Professional | None (both parts) | $112.20 | $154.88 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $27.54 Typical High $50.12 | Professional | 26 · Professional part | $21.38 | $27.54 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $128.82 Typical High $245.47 | Professional | TC · Technical part | $91.20 | $128.82 | $245.47 |
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 $25.12 Median $25.12 Typical High $27.54 | Professional | 53 · Discontinued | $25.12 | $25.12 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $100.00 Typical High $109.65 | Professional | FX · Film X-ray | $100.00 | $100.00 | $109.65 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $83.18 Median $89.13 Typical High $141.25 | Professional | 51 · Multiple procedures | $83.18 | $89.13 | $141.25 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $33.11 Median $35.48 Typical High $56.23 | Professional | 80 · Assistant surgeon | $33.11 | $35.48 | $56.23 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $22.91 Median $25.12 Typical High $38.90 | Professional | 81 · Minimal assistant surgeon | $22.91 | $25.12 | $38.90 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $22.91 Median $25.12 Typical High $38.90 | Professional | 82 · Assistant surgeon, no resident | $22.91 | $25.12 | $38.90 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $22.91 Median $25.12 Typical High $38.90 | Professional | AS · PA/NP assist | $22.91 | $25.12 | $38.90 |
Where South Carolina sits
The same service costs 3.8 times more in Alaska 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· 29th of 51
$166
AK $447FL $117
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.