How much rates vary
Facilitymedian $550 · 10th to 90th $257 to $1,122Professionalmedian $93 · 10th to 90th $65 to $162
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 $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $87.10 | Professional | None (both parts) | $79.43 | $79.43 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $15.85 | Professional | 26 · Professional part | $14.79 | $14.79 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $70.79 | Professional | TC · Technical part | $64.57 | $64.57 | $70.79 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 26 · Professional part | $30.20 | $30.20 | $30.20 |
BCBS South Carolina Setting Facility Modifier None Typical Low $269.15 Median $549.54 Typical High $1,122.02 | Facility | None | $269.15 | $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 $64.57 Median $75.86 Typical High $107.15 | Professional | None (both parts) | $64.57 | $75.86 | $107.15 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $20.89 Typical High $29.51 | Professional | 26 · Professional part | $17.38 | $20.89 | $29.51 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $52.48 Typical High $83.18 | Professional | TC · Technical part | $44.67 | $52.48 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $645.65 Typical High $1,288.25 | Facility | None | $467.74 | $645.65 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $83.18 Typical High $162.18 | Professional | None (both parts) | $70.79 | $83.18 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $21.38 Typical High $37.15 | Professional | 26 · Professional part | $17.38 | $21.38 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $64.57 Typical High $131.83 | Professional | TC · Technical part | $51.29 | $64.57 | $131.83 |
Medcost Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
Medcost Setting Facility Modifier None Typical Low $57.54 Median $87.10 Typical High $257.04 | Facility | None | $57.54 | $87.10 | $257.04 |
Medcost Setting Professional Modifier None (both parts) Typical Low $85.11 Median $100.00 Typical High $134.90 | Professional | None (both parts) | $85.11 | $100.00 | $134.90 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $31.62 Typical High $42.66 | Professional | 26 · Professional part | $27.54 | $31.62 | $42.66 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $83.18 Typical High $138.04 | Professional | TC · Technical part | $79.43 | $83.18 | $138.04 |
Molina Setting Professional Modifier None (both parts) Typical Low $70.79 Median $112.20 Typical High $173.78 | Professional | None (both parts) | $70.79 | $112.20 | $173.78 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,202.26 Typical High $1,584.89 | Facility | None | $1,000.00 | $1,202.26 | $1,584.89 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $93.33 Typical High $181.97 | Professional | None (both parts) | $70.79 | $93.33 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $21.38 Typical High $38.02 | Professional | 26 · Professional part | $16.60 | $21.38 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $74.13 Typical High $144.54 | Professional | TC · Technical part | $52.48 | $74.13 | $144.54 |
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 $39.81 Median $39.81 Typical High $43.65 | Professional | 52 · Reduced service | $39.81 | $39.81 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $17.38 | Professional | 53 · Discontinued | $15.85 | $15.85 | $17.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $63.10 Median $63.10 Typical High $69.18 | Professional | FX · Film X-ray | $63.10 | $63.10 | $69.18 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $42.66 Median $52.48 Typical High $85.11 | Professional | 51 · Multiple procedures | $42.66 | $52.48 | $85.11 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $16.98 Median $20.89 Typical High $33.88 | Professional | 80 · Assistant surgeon | $16.98 | $20.89 | $33.88 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.02 Median $14.45 Typical High $23.44 | Professional | 81 · Minimal assistant surgeon | $12.02 | $14.45 | $23.44 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.02 Median $14.45 Typical High $23.44 | Professional | 82 · Assistant surgeon, no resident | $12.02 | $14.45 | $23.44 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $12.02 Median $14.45 Typical High $23.44 | Professional | AS · PA/NP assist | $12.02 | $14.45 | $23.44 |
Where South Carolina sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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
$97.72
AK $282KY $74.13
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.