How much rates vary
Facilitymedian $81 · 10th to 90th $68 to $1,259Professionalmedian $155 · 10th to 90th $56 to $275
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $77.62 | Professional | None (both parts) | $67.61 | $67.61 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $27.54 | Professional | 26 · Professional part | $24.55 | $24.55 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $48.98 | Professional | TC · Technical part | $42.66 | $42.66 | $48.98 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $154.88 Median $181.97 Typical High $295.12 | Professional | None (both parts) | $154.88 | $181.97 | $295.12 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $34.67 Typical High $38.02 | Professional | 26 · Professional part | $27.54 | $34.67 | $38.02 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $213.80 Typical High $263.03 | Professional | TC · Technical part | $120.23 | $213.80 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $97.72 Typical High $204.17 | Professional | None (both parts) | $79.43 | $97.72 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $34.67 Typical High $61.66 | Professional | 26 · Professional part | $28.18 | $34.67 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $63.10 Typical High $131.83 | Professional | TC · Technical part | $52.48 | $63.10 | $131.83 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $58.88 | $58.88 | $58.88 |
Medcost Setting Facility Modifier None Typical Low $67.61 Median $81.28 Typical High $138.04 | Facility | None | $67.61 | $81.28 | $138.04 |
Medcost Setting Professional Modifier None (both parts) Typical Low $93.33 Median $229.09 Typical High $245.47 | Professional | None (both parts) | $93.33 | $229.09 | $245.47 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $51.29 Typical High $72.44 | Professional | 26 · Professional part | $43.65 | $51.29 | $72.44 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $87.10 Typical High $229.09 | Professional | TC · Technical part | $77.62 | $87.10 | $229.09 |
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 Professional Modifier None (both parts) Typical Low $134.90 Median $204.17 Typical High $416.87 | Professional | None (both parts) | $134.90 | $204.17 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $34.67 Typical High $63.10 | Professional | 26 · Professional part | $27.54 | $34.67 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $169.82 Typical High $354.81 | Professional | TC · Technical part | $107.15 | $169.82 | $354.81 |
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 $33.88 Median $33.88 Typical High $37.15 | Professional | 52 · Reduced service | $33.88 | $33.88 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $15.14 | Professional | 53 · Discontinued | $13.49 | $13.49 | $15.14 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $53.70 Median $53.70 Typical High $58.88 | Professional | FX · Film X-ray | $53.70 | $53.70 | $58.88 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $58.88 Median $114.82 Typical High $123.03 | Professional | 51 · Multiple procedures | $58.88 | $114.82 | $123.03 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $23.44 Median $45.71 Typical High $48.98 | Professional | 80 · Assistant surgeon | $23.44 | $45.71 | $48.98 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.22 Median $31.62 Typical High $34.67 | Professional | 81 · Minimal assistant surgeon | $16.22 | $31.62 | $34.67 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.22 Median $31.62 Typical High $34.67 | Professional | 82 · Assistant surgeon, no resident | $16.22 | $31.62 | $34.67 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $16.22 Median $31.62 Typical High $34.67 | Professional | AS · PA/NP assist | $16.22 | $31.62 | $34.67 |
Where South Carolina sits
The same service costs 4.4 times more in Alaska than in Texas. 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· 18th of 51
$155
AK $331TX $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.