How much rates vary
Facilitymedian $525 · 10th to 90th $224 to $1,122Professionalmedian $112 · 10th to 90th $63 to $186
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 $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $190.55 | Professional | None (both parts) | $63.10 | $63.10 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $20.42 Typical High $33.11 | Professional | 26 · Professional part | $17.78 | $20.42 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $186.21 | Professional | TC · Technical part | $42.66 | $42.66 | $186.21 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $33.88 Typical High $44.67 | Professional | 26 · Professional part | $19.05 | $33.88 | $44.67 |
BCBS South Carolina Setting Facility Modifier None Typical Low $281.84 Median $524.81 Typical High $1,122.02 | Facility | None | $281.84 | $524.81 | $1,122.02 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | TC · Technical part | $204.17 | $204.17 | $204.17 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $75.86 Median $120.23 Typical High $181.97 | Professional | None (both parts) | $75.86 | $120.23 | $181.97 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.11 Typical High $43.65 | Professional | 26 · Professional part | $23.99 | $33.11 | $43.65 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $81.28 Typical High $134.90 | Professional | TC · Technical part | $52.48 | $81.28 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $954.99 Typical High $1,905.46 | Facility | None | $323.59 | $954.99 | $1,905.46 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $114.82 Typical High $199.53 | Professional | None (both parts) | $87.10 | $114.82 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $22.91 Typical High $41.69 | Professional | 26 · Professional part | $16.98 | $22.91 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $95.50 Typical High $162.18 | Professional | TC · Technical part | $58.88 | $95.50 | $162.18 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $34.67 | $34.67 | $34.67 |
Medcost Setting Facility Modifier None Typical Low $63.10 Median $107.15 Typical High $660.69 | Facility | None | $63.10 | $107.15 | $660.69 |
Medcost Setting Professional Modifier None (both parts) Typical Low $87.10 Median $181.97 Typical High $239.88 | Professional | None (both parts) | $87.10 | $181.97 | $239.88 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.90 Typical High $60.26 | Professional | 26 · Professional part | $26.30 | $30.90 | $60.26 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $229.09 Typical High $234.42 | Professional | TC · Technical part | $85.11 | $229.09 | $234.42 |
Molina Setting Professional Modifier None (both parts) Typical Low $52.48 Median $102.33 Typical High $169.82 | Professional | None (both parts) | $52.48 | $102.33 | $169.82 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $1,778.28 Typical High $2,344.23 | Facility | None | $1,479.11 | $1,778.28 | $2,344.23 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $117.49 Typical High $204.17 | Professional | None (both parts) | $69.18 | $117.49 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $25.70 Typical High $48.98 | Professional | 26 · Professional part | $16.60 | $25.70 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $85.11 Typical High $177.83 | Professional | TC · Technical part | $44.67 | $85.11 | $177.83 |
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 $31.62 Median $31.62 Typical High $36.31 | Professional | 52 · Reduced service | $31.62 | $31.62 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $14.45 | Professional | 53 · Discontinued | $12.59 | $12.59 | $14.45 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $50.12 Median $50.12 Typical High $53.70 | Professional | FX · Film X-ray | $50.12 | $50.12 | $53.70 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $54.95 Median $91.20 Typical High $128.82 | Professional | 51 · Multiple procedures | $54.95 | $91.20 | $128.82 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $21.88 Median $37.15 Typical High $48.98 | Professional | 80 · Assistant surgeon | $21.88 | $37.15 | $48.98 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $15.14 Median $25.70 Typical High $33.88 | Professional | 81 · Minimal assistant surgeon | $15.14 | $25.70 | $33.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $15.14 Median $25.70 Typical High $33.88 | Professional | 82 · Assistant surgeon, no resident | $15.14 | $25.70 | $33.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $15.14 Median $25.70 Typical High $33.88 | Professional | AS · PA/NP assist | $15.14 | $25.70 | $33.88 |
Where South Carolina sits
The same service costs 5.4 times more in New York 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· 30th of 51
$115
NY $355TX $66.07
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.