How much rates vary
Facilitymedian $5,370 · 10th to 90th $933 to $12,882Professionalmedian $269 · 10th to 90th $162 to $617
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 $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $181.97 | Professional | None (both parts) | $147.91 | $147.91 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.50 Typical High $22.91 | Professional | 26 · Professional part | $19.50 | $19.50 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $154.88 | Professional | TC · Technical part | $128.82 | $128.82 | $154.88 |
BCBS South Carolina Setting Facility Modifier None Typical Low $2,691.53 Median $5,370.32 Typical High $12,589.25 | Facility | None | $2,691.53 | $5,370.32 | $12,589.25 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | TC · Technical part | $1,949.84 | $1,949.84 | $1,949.84 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $165.96 Median $489.78 Typical High $691.83 | Professional | None (both parts) | $165.96 | $489.78 | $691.83 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $28.18 Typical High $79.43 | Professional | 26 · Professional part | $22.91 | $28.18 | $79.43 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $467.74 Typical High $616.60 | Professional | TC · Technical part | $141.25 | $467.74 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $8,317.64 Typical High $16,595.87 | Facility | None | $912.01 | $8,317.64 | $16,595.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $354.81 Typical High $616.60 | Professional | None (both parts) | $208.93 | $354.81 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.18 Typical High $50.12 | Professional | 26 · Professional part | $23.99 | $28.18 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $331.13 Typical High $575.44 | Professional | TC · Technical part | $186.21 | $331.13 | $575.44 |
Medcost Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
Medcost Setting Facility Modifier None Typical Low $147.91 Median $199.53 Typical High $478.63 | Facility | None | $147.91 | $199.53 | $478.63 |
Medcost Setting Professional Modifier None (both parts) Typical Low $204.17 Median $467.74 Typical High $776.25 | Professional | None (both parts) | $204.17 | $467.74 | $776.25 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $42.66 Typical High $58.88 | Professional | 26 · Professional part | $37.15 | $42.66 | $58.88 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $346.74 Typical High $645.65 | Professional | TC · Technical part | $263.03 | $346.74 | $645.65 |
Molina Setting Professional Modifier None (both parts) Typical Low $162.18 Median $218.78 Typical High $309.03 | Professional | None (both parts) | $162.18 | $218.78 | $309.03 |
United Setting Facility Modifier None Typical Low $13,182.57 Median $16,218.10 Typical High $20,892.96 | Facility | None | $13,182.57 | $16,218.10 | $20,892.96 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $281.84 Typical High $645.65 | Professional | None (both parts) | $186.21 | $281.84 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $28.84 Typical High $50.12 | Professional | 26 · Professional part | $21.88 | $28.84 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $245.47 Typical High $549.54 | Professional | TC · Technical part | $162.18 | $245.47 | $549.54 |
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 $74.13 Median $74.13 Typical High $87.10 | Professional | 52 · Reduced service | $74.13 | $74.13 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $34.67 | Professional | 53 · Discontinued | $29.51 | $29.51 | $34.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $120.23 Typical High $131.83 | Professional | FX · Film X-ray | $120.23 | $120.23 | $131.83 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $128.82 Median $234.42 Typical High $389.05 | Professional | 51 · Multiple procedures | $128.82 | $234.42 | $389.05 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $51.29 Median $93.33 Typical High $154.88 | Professional | 80 · Assistant surgeon | $51.29 | $93.33 | $154.88 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $36.31 Median $66.07 Typical High $109.65 | Professional | 81 · Minimal assistant surgeon | $36.31 | $66.07 | $109.65 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $36.31 Median $66.07 Typical High $109.65 | Professional | 82 · Assistant surgeon, no resident | $36.31 | $66.07 | $109.65 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $36.31 Median $66.07 Typical High $109.65 | Professional | AS · PA/NP assist | $36.31 | $66.07 | $109.65 |
Where South Carolina sits
The same service costs 3.3 times more in Alaska than in Florida. 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· 17th of 51
$288
AK $525FL $158
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.