How much rates vary
Facilitymedian $617 · 10th to 90th $275 to $1,622Professionalmedian $98 · 10th to 90th $56 to $513
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 $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $416.87 | Professional | None (both parts) | $407.38 | $407.38 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $24.55 | Professional | 26 · Professional part | $21.38 | $21.38 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $398.11 Typical High $416.87 | Professional | TC · Technical part | $398.11 | $398.11 | $416.87 |
BCBS South Carolina Setting Facility Modifier None Typical Low $302.00 Median $616.60 Typical High $1,288.25 | Facility | None | $302.00 | $616.60 | $1,288.25 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | TC · Technical part | $208.93 | $208.93 | $208.93 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $77.62 Median $93.33 Typical High $489.78 | Professional | None (both parts) | $77.62 | $93.33 | $489.78 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $38.02 Typical High $48.98 | Professional | 26 · Professional part | $23.99 | $38.02 | $48.98 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $54.95 Typical High $467.74 | Professional | TC · Technical part | $34.67 | $54.95 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $1,445.44 Typical High $2,884.03 | Facility | None | $269.15 | $1,445.44 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $81.28 Typical High $141.25 | Professional | None (both parts) | $69.18 | $81.28 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $30.90 Typical High $53.70 | Professional | 26 · Professional part | $24.55 | $30.90 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $50.12 Typical High $89.13 | Professional | TC · Technical part | $43.65 | $50.12 | $89.13 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $51.29 | $51.29 | $51.29 |
Medcost Setting Facility Modifier None Typical Low $69.18 Median $426.58 Typical High $549.54 | Facility | None | $69.18 | $426.58 | $549.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $120.23 Median $134.90 Typical High $758.58 | Professional | None (both parts) | $120.23 | $134.90 | $758.58 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $45.71 Typical High $58.88 | Professional | 26 · Professional part | $37.15 | $45.71 | $58.88 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $131.83 Typical High $851.14 | Professional | TC · Technical part | $74.13 | $131.83 | $851.14 |
Molina Setting Professional Modifier None (both parts) Typical Low $35.48 Median $45.71 Typical High $66.07 | Professional | None (both parts) | $35.48 | $45.71 | $66.07 |
United Setting Facility Modifier None Typical Low $2,290.87 Median $2,754.23 Typical High $3,630.78 | Facility | None | $2,290.87 | $2,754.23 | $3,630.78 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $467.74 Typical High $870.96 | Professional | None (both parts) | $72.44 | $467.74 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.20 Typical High $53.70 | Professional | 26 · Professional part | $23.99 | $30.20 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $436.52 Typical High $831.76 | Professional | TC · Technical part | $45.71 | $436.52 | $831.76 |
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 $199.53 Median $199.53 Typical High $208.93 | Professional | 52 · Reduced service | $199.53 | $199.53 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $83.18 | Professional | 53 · Discontinued | $81.28 | $81.28 | $83.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $323.59 Typical High $331.13 | Professional | FX · Film X-ray | $323.59 | $323.59 | $331.13 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $58.88 Median $67.61 Typical High $467.74 | Professional | 51 · Multiple procedures | $58.88 | $67.61 | $467.74 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $23.99 Median $26.92 Typical High $186.21 | Professional | 80 · Assistant surgeon | $23.99 | $26.92 | $186.21 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.60 Median $19.05 Typical High $128.82 | Professional | 81 · Minimal assistant surgeon | $16.60 | $19.05 | $128.82 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.60 Median $19.05 Typical High $128.82 | Professional | 82 · Assistant surgeon, no resident | $16.60 | $19.05 | $128.82 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $16.60 Median $19.05 Typical High $128.82 | Professional | AS · PA/NP assist | $16.60 | $19.05 | $128.82 |
Where South Carolina sits
The same service costs 8.7 times more in Colorado than in Michigan. 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· 39th of 51
$117
CO $661MI $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.