How much rates vary
Facilitymedian $617 · 10th to 90th $234 to $1,122Professionalmedian $126 · 10th to 90th $63 to $224
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 $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $169.82 | Professional | None (both parts) | $112.20 | $112.20 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $20.42 Typical High $23.99 | Professional | 26 · Professional part | $16.22 | $20.42 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $162.18 | Professional | TC · Technical part | $91.20 | $91.20 | $162.18 |
BCBS South Carolina Setting Facility Modifier None Typical Low $263.03 Median $549.54 Typical High $1,122.02 | Facility | None | $263.03 | $549.54 | $1,122.02 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | TC · Technical part | $181.97 | $181.97 | $181.97 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $69.18 Median $81.28 Typical High $134.90 | Professional | None (both parts) | $69.18 | $81.28 | $134.90 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $28.18 Typical High $38.02 | Professional | 26 · Professional part | $22.91 | $28.18 | $38.02 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $54.95 Typical High $102.33 | Professional | TC · Technical part | $31.62 | $54.95 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $954.99 Typical High $1,905.46 | Facility | None | $660.69 | $954.99 | $1,905.46 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $75.86 Typical High $218.78 | Professional | None (both parts) | $63.10 | $75.86 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $20.89 Typical High $40.74 | Professional | 26 · Professional part | $16.98 | $20.89 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $52.48 Typical High $186.21 | Professional | TC · Technical part | $45.71 | $52.48 | $186.21 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 26 · Professional part | $33.88 | $33.88 | $33.88 |
Medcost Setting Facility Modifier None Typical Low $63.10 Median $151.36 Typical High $363.08 | Facility | None | $63.10 | $151.36 | $363.08 |
Medcost Setting Professional Modifier None (both parts) Typical Low $107.15 Median $154.88 Typical High $354.81 | Professional | None (both parts) | $107.15 | $154.88 | $354.81 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.90 Typical High $47.86 | Professional | 26 · Professional part | $25.70 | $30.90 | $47.86 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $181.97 Typical High $407.38 | Professional | TC · Technical part | $75.86 | $181.97 | $407.38 |
Molina Setting Professional Modifier None (both parts) Typical Low $54.95 Median $144.54 Typical High $229.09 | Professional | None (both parts) | $54.95 | $144.54 | $229.09 |
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 $67.61 Median $125.89 Typical High $302.00 | Professional | None (both parts) | $67.61 | $125.89 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $25.70 Typical High $45.71 | Professional | 26 · Professional part | $16.60 | $25.70 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $100.00 Typical High $275.42 | Professional | TC · Technical part | $47.86 | $100.00 | $275.42 |
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 $56.23 Median $56.23 Typical High $63.10 | Professional | 52 · Reduced service | $56.23 | $56.23 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $25.12 | Professional | 53 · Discontinued | $22.39 | $22.39 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $89.13 Typical High $97.72 | Professional | FX · Film X-ray | $89.13 | $89.13 | $97.72 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $53.70 Median $83.18 Typical High $223.87 | Professional | 51 · Multiple procedures | $53.70 | $83.18 | $223.87 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $21.38 Median $33.11 Typical High $89.13 | Professional | 80 · Assistant surgeon | $21.38 | $33.11 | $89.13 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $15.14 Median $23.44 Typical High $63.10 | Professional | 81 · Minimal assistant surgeon | $15.14 | $23.44 | $63.10 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $15.14 Median $23.44 Typical High $63.10 | Professional | 82 · Assistant surgeon, no resident | $15.14 | $23.44 | $63.10 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $15.14 Median $23.44 Typical High $63.10 | Professional | AS · PA/NP assist | $15.14 | $23.44 | $63.10 |
Where South Carolina sits
The same service costs 4.1 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· 44th of 51
$126
AK $398UT $97.72
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.