How much rates vary
Facilitymedian $5,248 · 10th to 90th $631 to $12,882Professionalmedian $170 · 10th to 90th $95 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 $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $144.54 | Professional | None (both parts) | $125.89 | $125.89 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $48.98 | Professional | 26 · Professional part | $45.71 | $45.71 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $91.20 | Professional | TC · Technical part | $79.43 | $79.43 | $91.20 |
BCBS 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 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 Setting Professional Modifier None (both parts) Typical Low $141.25 Median $524.81 Typical High $741.31 | Professional | None (both parts) | $141.25 | $524.81 | $741.31 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $63.10 Typical High $70.79 | Professional | 26 · Professional part | $51.29 | $63.10 | $70.79 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $398.11 Typical High $467.74 | Professional | TC · Technical part | $91.20 | $398.11 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $8,317.64 Typical High $16,595.87 | Facility | None | $616.60 | $8,317.64 | $16,595.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $338.84 Typical High $645.65 | Professional | None (both parts) | $173.78 | $338.84 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $114.82 | Professional | 26 · Professional part | $53.70 | $64.57 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $288.40 Typical High $562.34 | Professional | TC · Technical part | $109.65 | $288.40 | $562.34 |
Medcost Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
Medcost Setting Facility Modifier None Typical Low $125.89 Median $186.21 Typical High $3,801.89 | Facility | None | $125.89 | $186.21 | $3,801.89 |
Medcost Setting Professional Modifier None (both parts) Typical Low $173.78 Median $467.74 Typical High $831.76 | Professional | None (both parts) | $173.78 | $467.74 | $831.76 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $95.50 Typical High $134.90 | Professional | 26 · Professional part | $85.11 | $95.50 | $134.90 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $251.19 Typical High $602.56 | Professional | TC · Technical part | $158.49 | $251.19 | $602.56 |
Molina Setting Professional Modifier None (both parts) Typical Low $54.95 Median $144.54 Typical High $229.09 | Professional | None (both parts) | $54.95 | $144.54 | $229.09 |
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 $154.88 Median $251.19 Typical High $616.60 | Professional | None (both parts) | $154.88 | $251.19 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $64.57 Typical High $114.82 | Professional | 26 · Professional part | $51.29 | $64.57 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $169.82 Typical High $524.81 | Professional | TC · Technical part | $97.72 | $169.82 | $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 $63.10 Median $63.10 Typical High $72.44 | Professional | 52 · Reduced service | $63.10 | $63.10 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $28.84 | Professional | 53 · Discontinued | $25.12 | $25.12 | $28.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $100.00 Typical High $104.71 | Professional | FX · Film X-ray | $100.00 | $100.00 | $104.71 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $107.15 Median $234.42 Typical High $416.87 | Professional | 51 · Multiple procedures | $107.15 | $234.42 | $416.87 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $43.65 Median $93.33 Typical High $165.96 | Professional | 80 · Assistant surgeon | $43.65 | $93.33 | $165.96 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $30.20 Median $64.57 Typical High $117.49 | Professional | 81 · Minimal assistant surgeon | $30.20 | $64.57 | $117.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $30.20 Median $64.57 Typical High $117.49 | Professional | 82 · Assistant surgeon, no resident | $30.20 | $64.57 | $117.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $30.20 Median $64.57 Typical High $117.49 | Professional | AS · PA/NP assist | $30.20 | $64.57 | $117.49 |
Where South Carolina sits
The same service costs 4.4 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· 40th of 51
$178
AK $457UT $105
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.