How much rates vary
Facilitymedian $575 · 10th to 90th $224 to $1,122Professionalmedian $110 · 10th to 90th $85 to $178
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 $85.11 Median $85.11 Typical High $125.89 | Facility | None | $85.11 | $85.11 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $107.15 | Professional | None (both parts) | $85.11 | $85.11 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.18 Typical High $17.78 | Professional | 26 · Professional part | $13.18 | $13.18 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $91.20 | Professional | TC · Technical part | $72.44 | $72.44 | $91.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $107.15 | $107.15 | $107.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $28.18 Typical High $28.18 | Professional | 26 · Professional part | $16.98 | $28.18 | $28.18 |
BCBS South Carolina Setting Facility Modifier None Typical Low $302.00 Median $562.34 Typical High $1,096.48 | Facility | None | $302.00 | $562.34 | $1,096.48 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | TC · Technical part | $213.80 | $213.80 | $213.80 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $91.20 Median $102.33 Typical High $138.04 | Professional | None (both parts) | $91.20 | $102.33 | $138.04 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $36.31 Typical High $56.23 | Professional | 26 · Professional part | $15.14 | $36.31 | $56.23 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $83.18 Typical High $100.00 | Professional | TC · Technical part | $45.71 | $83.18 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $660.69 Typical High $1,288.25 | Facility | None | $524.81 | $660.69 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $89.13 Typical High $173.78 | Professional | None (both parts) | $79.43 | $89.13 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $18.62 Typical High $33.11 | Professional | 26 · Professional part | $15.49 | $18.62 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $72.44 Typical High $144.54 | Professional | TC · Technical part | $64.57 | $72.44 | $144.54 |
Medcost Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Medcost Setting Facility Modifier None Typical Low $70.79 Median $114.82 Typical High $660.69 | Facility | None | $70.79 | $114.82 | $660.69 |
Medcost Setting Professional Modifier None (both parts) Typical Low $91.20 Median $120.23 Typical High $141.25 | Professional | None (both parts) | $91.20 | $120.23 | $141.25 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.18 Typical High $53.70 | Professional | 26 · Professional part | $24.55 | $28.18 | $53.70 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $100.00 Typical High $154.88 | Professional | TC · Technical part | $93.33 | $100.00 | $154.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $97.72 Median $131.83 Typical High $186.21 | Professional | None (both parts) | $97.72 | $131.83 | $186.21 |
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 $75.86 Median $104.71 Typical High $190.55 | Professional | None (both parts) | $75.86 | $104.71 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $19.05 Typical High $33.88 | Professional | 26 · Professional part | $14.45 | $19.05 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $83.18 Typical High $162.18 | Professional | TC · Technical part | $61.66 | $83.18 | $162.18 |
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 $42.66 Median $42.66 Typical High $46.77 | Professional | 52 · Reduced service | $42.66 | $42.66 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $18.62 | Professional | 53 · Discontinued | $16.98 | $16.98 | $18.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $67.61 Typical High $74.13 | Professional | FX · Film X-ray | $67.61 | $67.61 | $74.13 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $45.71 Median $60.26 Typical High $91.20 | Professional | 51 · Multiple procedures | $45.71 | $60.26 | $91.20 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $18.20 Median $23.99 Typical High $36.31 | Professional | 80 · Assistant surgeon | $18.20 | $23.99 | $36.31 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.88 Median $16.98 Typical High $25.70 | Professional | 81 · Minimal assistant surgeon | $12.88 | $16.98 | $25.70 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.88 Median $16.98 Typical High $25.70 | Professional | 82 · Assistant surgeon, no resident | $12.88 | $16.98 | $25.70 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $12.88 Median $16.98 Typical High $25.70 | Professional | AS · PA/NP assist | $12.88 | $16.98 | $25.70 |
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· 25th of 51
$117
AK $288NY $75.86
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.