How much rates vary
Facilitymedian $575 · 10th to 90th $229 to $1,288Professionalmedian $89 · 10th to 90th $69 to $151
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 $77.62 Median $77.62 Typical High $251.19 | Facility | None | $77.62 | $77.62 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $120.23 | Professional | None (both parts) | $77.62 | $77.62 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.49 Typical High $23.99 | Professional | 26 · Professional part | $15.49 | $15.49 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $97.72 | Professional | TC · Technical part | $63.10 | $63.10 | $97.72 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $131.83 | $131.83 | $131.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $31.62 | Professional | 26 · Professional part | $17.38 | $17.38 | $31.62 |
BCBS South Carolina Setting Facility Modifier None Typical Low $288.40 Median $575.44 Typical High $1,288.25 | Facility | None | $288.40 | $575.44 | $1,288.25 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | TC · Technical part | $239.88 | $239.88 | $239.88 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $83.18 Median $91.20 Typical High $151.36 | Professional | None (both parts) | $83.18 | $91.20 | $151.36 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $32.36 Typical High $43.65 | Professional | 26 · Professional part | $17.38 | $32.36 | $43.65 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $67.61 Typical High $109.65 | Professional | TC · Technical part | $52.48 | $67.61 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $645.65 Typical High $1,288.25 | Facility | None | $436.52 | $645.65 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $81.28 Typical High $158.49 | Professional | None (both parts) | $69.18 | $81.28 | $158.49 |
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 $61.66 Typical High $123.03 | Professional | TC · Technical part | $51.29 | $61.66 | $123.03 |
Medcost Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
Medcost Setting Facility Modifier None Typical Low $64.57 Median $104.71 Typical High $426.58 | Facility | None | $64.57 | $104.71 | $426.58 |
Medcost Setting Professional Modifier None (both parts) Typical Low $102.33 Median $109.65 Typical High $131.83 | Professional | None (both parts) | $102.33 | $109.65 | $131.83 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.11 Typical High $46.77 | Professional | 26 · Professional part | $26.92 | $33.11 | $46.77 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $81.28 Typical High $134.90 | Professional | TC · Technical part | $75.86 | $81.28 | $134.90 |
Molina Setting Professional Modifier None (both parts) Typical Low $64.57 Median $87.10 Typical High $123.03 | Professional | None (both parts) | $64.57 | $87.10 | $123.03 |
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 $67.61 Median $91.20 Typical High $173.78 | Professional | None (both parts) | $67.61 | $91.20 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $21.88 Typical High $38.90 | Professional | 26 · Professional part | $16.98 | $21.88 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $72.44 Typical High $138.04 | Professional | TC · Technical part | $48.98 | $72.44 | $138.04 |
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 $38.90 Median $38.90 Typical High $42.66 | Professional | 52 · Reduced service | $38.90 | $38.90 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $16.98 | Professional | 53 · Discontinued | $15.49 | $15.49 | $16.98 |
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 $51.29 Median $54.95 Typical High $83.18 | Professional | 51 · Multiple procedures | $51.29 | $54.95 | $83.18 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $20.42 Median $21.88 Typical High $33.11 | Professional | 80 · Assistant surgeon | $20.42 | $21.88 | $33.11 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $14.45 Median $15.49 Typical High $23.44 | Professional | 81 · Minimal assistant surgeon | $14.45 | $15.49 | $23.44 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $14.45 Median $15.49 Typical High $23.44 | Professional | 82 · Assistant surgeon, no resident | $14.45 | $15.49 | $23.44 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $14.45 Median $15.49 Typical High $23.44 | Professional | AS · PA/NP assist | $14.45 | $15.49 | $23.44 |
Where South Carolina sits
The same service costs 4.0 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· 32nd of 51
$95.50
AK $263UT $66.07
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.