How much rates vary
Facilitymedian $1,202 · 10th to 90th $398 to $2,042Professionalmedian $302 · 10th to 90th $132 to $646
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 $275.42 Median $602.56 Typical High $2,041.74 | Facility | None | $275.42 | $602.56 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $562.34 | Professional | None (both parts) | $275.42 | $275.42 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $162.18 | Professional | 26 · Professional part | $83.18 | $83.18 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $389.05 | Professional | TC · Technical part | $190.55 | $190.55 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $707.95 | Professional | None (both parts) | $426.58 | $426.58 | $707.95 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $117.49 Typical High $194.98 | Professional | 26 · Professional part | $85.11 | $117.49 | $194.98 |
BCBS South Carolina Setting Facility Modifier None Typical Low $501.19 Median $1,258.93 Typical High $2,041.74 | Facility | None | $501.19 | $1,258.93 | $2,041.74 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | TC · Technical part | $489.78 | $489.78 | $489.78 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $275.42 Median $407.38 Typical High $588.84 | Professional | None (both parts) | $275.42 | $407.38 | $588.84 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $107.15 Typical High $147.91 | Professional | 26 · Professional part | $102.33 | $107.15 | $147.91 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $309.03 Typical High $398.11 | Professional | TC · Technical part | $165.96 | $309.03 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,174.90 Typical High $3,801.89 | Facility | None | $891.25 | $1,174.90 | $3,801.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $602.56 Typical High $1,047.13 | Professional | None (both parts) | $436.52 | $602.56 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $131.83 Typical High $234.42 | Professional | 26 · Professional part | $112.20 | $131.83 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $489.78 Typical High $758.58 | Professional | TC · Technical part | $316.23 | $489.78 | $758.58 |
Medcost Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Medcost Setting Facility Modifier None Typical Low $275.42 Median $436.52 Typical High $1,513.56 | Facility | None | $275.42 | $436.52 | $1,513.56 |
Medcost Setting Professional Modifier None (both parts) Typical Low $331.13 Median $724.44 Typical High $1,122.02 | Professional | None (both parts) | $331.13 | $724.44 | $1,122.02 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $199.53 Typical High $288.40 | Professional | 26 · Professional part | $173.78 | $199.53 | $288.40 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $446.68 Typical High $512.86 | Professional | TC · Technical part | $288.40 | $446.68 | $512.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $114.82 Median $208.93 Typical High $416.87 | Professional | None (both parts) | $114.82 | $208.93 | $416.87 |
United Setting Facility Modifier None Typical Low $741.31 Median $891.25 Typical High $1,174.90 | Facility | None | $741.31 | $891.25 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $416.87 Median $602.56 Typical High $1,023.29 | Professional | None (both parts) | $416.87 | $602.56 | $1,023.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $134.90 Typical High $245.47 | Professional | 26 · Professional part | $107.15 | $134.90 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $446.68 Typical High $812.83 | Professional | TC · Technical part | $302.00 | $446.68 | $812.83 |
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 $138.04 Median $138.04 Typical High $141.25 | Professional | 52 · Reduced service | $138.04 | $138.04 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $56.23 | Professional | 53 · Discontinued | $54.95 | $54.95 | $56.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $218.78 Typical High $223.87 | Professional | FX · Film X-ray | $218.78 | $218.78 | $223.87 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $204.17 Median $354.81 Typical High $562.34 | Professional | 51 · Multiple procedures | $204.17 | $354.81 | $562.34 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $81.28 Median $144.54 Typical High $223.87 | Professional | 80 · Assistant surgeon | $81.28 | $144.54 | $223.87 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $57.54 Median $100.00 Typical High $158.49 | Professional | 81 · Minimal assistant surgeon | $57.54 | $100.00 | $158.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $57.54 Median $100.00 Typical High $158.49 | Professional | 82 · Assistant surgeon, no resident | $57.54 | $100.00 | $158.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $57.54 Median $100.00 Typical High $158.49 | Professional | AS · PA/NP assist | $57.54 | $100.00 | $158.49 |
Where South Carolina sits
The same service costs 6.8 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· 46th of 51
$316
AK $1,148UT $170
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.