How much rates vary
Facilitymedian $5,129 · 10th to 90th $794 to $14,454Professionalmedian $126 · 10th to 90th $66 to $631
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 $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $213.80 | Professional | None (both parts) | $100.00 | $100.00 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $58.88 | Professional | 26 · Professional part | $44.67 | $44.67 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $144.54 | Professional | TC · Technical part | $54.95 | $54.95 | $144.54 |
BCBS South Carolina Setting Facility Modifier None Typical Low $2,511.89 Median $5,248.07 Typical High $12,589.25 | Facility | None | $2,511.89 | $5,248.07 | $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 $114.82 Median $524.81 Typical High $741.31 | Professional | None (both parts) | $114.82 | $524.81 | $741.31 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $89.13 Typical High $125.89 | Professional | 26 · Professional part | $50.12 | $89.13 | $125.89 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $398.11 Typical High $630.96 | Professional | TC · Technical part | $63.10 | $398.11 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $14,454.40 Typical High $28,840.32 | Facility | None | $407.38 | $14,454.40 | $28,840.32 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $331.13 Typical High $660.69 | Professional | None (both parts) | $138.04 | $331.13 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $112.20 | Professional | 26 · Professional part | $53.70 | $64.57 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $263.03 Typical High $562.34 | Professional | TC · Technical part | $77.62 | $263.03 | $562.34 |
Medcost Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Medcost Setting Facility Modifier None Typical Low $100.00 Median $323.59 Typical High $3,801.89 | Facility | None | $100.00 | $323.59 | $3,801.89 |
Medcost Setting Professional Modifier None (both parts) Typical Low $138.04 Median $426.58 Typical High $831.76 | Professional | None (both parts) | $138.04 | $426.58 | $831.76 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $97.72 Typical High $194.98 | Professional | 26 · Professional part | $85.11 | $97.72 | $194.98 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $229.09 Typical High $602.56 | Professional | TC · Technical part | $109.65 | $229.09 | $602.56 |
Molina Setting Professional Modifier None (both parts) Typical Low $52.48 Median $102.33 Typical High $169.82 | Professional | None (both parts) | $52.48 | $102.33 | $169.82 |
United Setting Facility Modifier None Typical Low $23,442.29 Median $28,183.83 Typical High $37,153.52 | Facility | None | $23,442.29 | $28,183.83 | $37,153.52 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $208.93 Typical High $616.60 | Professional | None (both parts) | $123.03 | $208.93 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $64.57 Typical High $114.82 | Professional | 26 · Professional part | $50.12 | $64.57 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $125.89 Typical High $524.81 | Professional | TC · Technical part | $69.18 | $125.89 | $524.81 |
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 $50.12 Median $50.12 Typical High $56.23 | Professional | 52 · Reduced service | $50.12 | $50.12 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $22.91 | Professional | 53 · Discontinued | $19.95 | $19.95 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $79.43 Typical High $85.11 | Professional | FX · Film X-ray | $79.43 | $79.43 | $85.11 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $85.11 Median $213.80 Typical High $416.87 | Professional | 51 · Multiple procedures | $85.11 | $213.80 | $416.87 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $33.88 Median $85.11 Typical High $165.96 | Professional | 80 · Assistant surgeon | $33.88 | $85.11 | $165.96 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $23.99 Median $60.26 Typical High $117.49 | Professional | 81 · Minimal assistant surgeon | $23.99 | $60.26 | $117.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $23.99 Median $60.26 Typical High $117.49 | Professional | 82 · Assistant surgeon, no resident | $23.99 | $60.26 | $117.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $23.99 Median $60.26 Typical High $117.49 | Professional | AS · PA/NP assist | $23.99 | $60.26 | $117.49 |
Where South Carolina sits
The same service costs 4.9 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· 41st of 51
$132
AK $372UT $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.