How much rates vary
Facilitymedian $537 · 10th to 90th $145 to $1,122Professionalmedian $55 · 10th to 90th $34 to $89
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 $33.88 Median $43.65 Typical High $112.20 | Facility | None | $33.88 | $43.65 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $33.88 Typical High $67.61 | Professional | None (both parts) | $33.88 | $33.88 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $20.42 | Professional | 26 · Professional part | $12.88 | $12.88 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $20.89 Typical High $51.29 | Professional | TC · Technical part | $20.89 | $20.89 | $51.29 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None (both parts) | $31.62 | $31.62 | $31.62 |
BCBS South Carolina Setting Facility Modifier None Typical Low $239.88 Median $549.54 Typical High $1,096.48 | Facility | None | $239.88 | $549.54 | $1,096.48 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | TC · Technical part | $190.55 | $190.55 | $190.55 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $38.90 Median $69.18 Typical High $89.13 | Professional | None (both parts) | $38.90 | $69.18 | $89.13 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $35.48 Typical High $45.71 | Professional | 26 · Professional part | $14.79 | $35.48 | $45.71 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $33.88 Typical High $53.70 | Professional | TC · Technical part | $24.55 | $33.88 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $954.99 Typical High $1,905.46 | Facility | None | $158.49 | $954.99 | $1,905.46 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $66.07 Typical High $102.33 | Professional | None (both parts) | $42.66 | $66.07 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $17.78 Typical High $31.62 | Professional | 26 · Professional part | $14.79 | $17.78 | $31.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $50.12 Typical High $63.10 | Professional | TC · Technical part | $23.99 | $50.12 | $63.10 |
Medcost Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
Medcost Setting Facility Modifier None Typical Low $33.88 Median $52.48 Typical High $660.69 | Facility | None | $33.88 | $52.48 | $660.69 |
Medcost Setting Professional Modifier None (both parts) Typical Low $46.77 Median $89.13 Typical High $104.71 | Professional | None (both parts) | $46.77 | $89.13 | $104.71 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $27.54 Typical High $39.81 | Professional | 26 · Professional part | $22.91 | $27.54 | $39.81 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $72.44 Typical High $83.18 | Professional | TC · Technical part | $42.66 | $72.44 | $83.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $32.36 Median $43.65 Typical High $61.66 | Professional | None (both parts) | $32.36 | $43.65 | $61.66 |
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 $38.02 Median $58.88 Typical High $100.00 | Professional | None (both parts) | $38.02 | $58.88 | $100.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $18.20 Typical High $33.11 | Professional | 26 · Professional part | $14.13 | $18.20 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $38.90 Typical High $75.86 | Professional | TC · Technical part | $22.39 | $38.90 | $75.86 |
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 $16.98 Median $16.98 Typical High $17.78 | Professional | 52 · Reduced service | $16.98 | $16.98 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $6.76 Typical High $7.08 | Professional | 53 · Discontinued | $6.76 | $6.76 | $7.08 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.92 Median $26.92 Typical High $28.18 | Professional | FX · Film X-ray | $26.92 | $26.92 | $28.18 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $29.51 Median $44.67 Typical High $52.48 | Professional | 51 · Multiple procedures | $29.51 | $44.67 | $52.48 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $11.75 Median $18.20 Typical High $20.89 | Professional | 80 · Assistant surgeon | $11.75 | $18.20 | $20.89 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.13 Median $12.59 Typical High $14.79 | Professional | 81 · Minimal assistant surgeon | $8.13 | $12.59 | $14.79 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.13 Median $12.59 Typical High $14.79 | Professional | 82 · Assistant surgeon, no resident | $8.13 | $12.59 | $14.79 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $8.13 Median $12.59 Typical High $14.79 | Professional | AS · PA/NP assist | $8.13 | $12.59 | $14.79 |
Where South Carolina sits
The same service costs 3.8 times more in Alaska than in New York. 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· 22nd of 51
$60.26
AK $115NY $30.20
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.