How much rates vary
Facilitymedian $575 · 10th to 90th $245 to $1,122Professionalmedian $115 · 10th to 90th $56 to $263
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 $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $204.17 | Professional | None (both parts) | $190.55 | $190.55 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $26.92 | Professional | 26 · Professional part | $25.12 | $25.12 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $194.98 | Professional | TC · Technical part | $186.21 | $186.21 | $194.98 |
BCBS Setting Facility Modifier None Typical Low $281.84 Median $562.34 Typical High $1,122.02 | Facility | None | $281.84 | $562.34 | $1,122.02 |
BCBS Setting Facility Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | TC · Technical part | $190.55 | $190.55 | $190.55 |
BCBS Setting Professional Modifier None (both parts) Typical Low $91.20 Median $107.15 Typical High $223.87 | Professional | None (both parts) | $91.20 | $107.15 | $223.87 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $34.67 Typical High $100.00 | Professional | 26 · Professional part | $28.18 | $34.67 | $100.00 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $56.23 Typical High $194.98 | Professional | TC · Technical part | $18.20 | $56.23 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $645.65 Typical High $1,288.25 | Facility | None | $316.23 | $645.65 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $93.33 Typical High $162.18 | Professional | None (both parts) | $79.43 | $93.33 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $35.48 Typical High $61.66 | Professional | 26 · Professional part | $28.84 | $35.48 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $57.54 Typical High $104.71 | Professional | TC · Technical part | $51.29 | $57.54 | $104.71 |
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 $81.28 Median $208.93 Typical High $257.04 | Facility | None | $81.28 | $208.93 | $257.04 |
Medcost Setting Professional Modifier None (both parts) Typical Low $138.04 Median $181.97 Typical High $338.84 | Professional | None (both parts) | $138.04 | $181.97 | $338.84 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $52.48 Typical High $69.18 | Professional | 26 · Professional part | $43.65 | $52.48 | $69.18 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $190.55 Typical High $398.11 | Professional | TC · Technical part | $85.11 | $190.55 | $398.11 |
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 $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 $83.18 Median $239.88 Typical High $489.78 | Professional | None (both parts) | $83.18 | $239.88 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $35.48 Typical High $63.10 | Professional | 26 · Professional part | $28.18 | $35.48 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $213.80 Typical High $436.52 | Professional | TC · Technical part | $53.70 | $213.80 | $436.52 |
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 $95.50 Median $95.50 Typical High $102.33 | Professional | 52 · Reduced service | $95.50 | $95.50 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $40.74 | Professional | 53 · Discontinued | $38.02 | $38.02 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $154.88 Typical High $162.18 | Professional | FX · Film X-ray | $154.88 | $154.88 | $162.18 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $69.18 Median $91.20 Typical High $229.09 | Professional | 51 · Multiple procedures | $69.18 | $91.20 | $229.09 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $27.54 Median $36.31 Typical High $91.20 | Professional | 80 · Assistant surgeon | $27.54 | $36.31 | $91.20 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $19.50 Median $25.12 Typical High $63.10 | Professional | 81 · Minimal assistant surgeon | $19.50 | $25.12 | $63.10 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $19.50 Median $25.12 Typical High $63.10 | Professional | 82 · Assistant surgeon, no resident | $19.50 | $25.12 | $63.10 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $19.50 Median $25.12 Typical High $63.10 | Professional | AS · PA/NP assist | $19.50 | $25.12 | $63.10 |
Where South Carolina sits
The same service costs 5.9 times more in Nebraska than in Hawaii. 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· 37th of 51
$138
NE $389HI $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.