How much rates vary
Facilitymedian $5,248 · 10th to 90th $1,072 to $12,882Professionalmedian $191 · 10th to 90th $95 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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $158.49 | Professional | None (both parts) | $138.04 | $138.04 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $57.54 | Professional | 26 · Professional part | $51.29 | $51.29 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $100.00 | Professional | TC · Technical part | $87.10 | $87.10 | $100.00 |
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 $537.03 Typical High $758.58 | Professional | None (both parts) | $165.96 | $537.03 | $758.58 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $74.13 Typical High $81.28 | Professional | 26 · Professional part | $58.88 | $74.13 | $81.28 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $446.68 Typical High $457.09 | Professional | TC · Technical part | $107.15 | $446.68 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $8,317.64 Typical High $16,595.87 | Facility | None | $676.08 | $8,317.64 | $16,595.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $371.54 Typical High $676.08 | Professional | None (both parts) | $190.55 | $371.54 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $75.86 Typical High $131.83 | Professional | 26 · Professional part | $63.10 | $75.86 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $309.03 Typical High $562.34 | Professional | TC · Technical part | $120.23 | $309.03 | $562.34 |
Medcost Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
Medcost Setting Facility Modifier None Typical Low $138.04 Median $398.11 Typical High $3,801.89 | Facility | None | $138.04 | $398.11 | $3,801.89 |
Medcost Setting Professional Modifier None (both parts) Typical Low $190.55 Median $512.86 Typical High $851.14 | Professional | None (both parts) | $190.55 | $512.86 | $851.14 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $109.65 Typical High $154.88 | Professional | 26 · Professional part | $97.72 | $109.65 | $154.88 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $288.40 Typical High $562.34 | Professional | TC · Technical part | $173.78 | $288.40 | $562.34 |
Molina Setting Professional Modifier None (both parts) Typical Low $54.95 Median $162.18 Typical High $281.84 | Professional | None (both parts) | $54.95 | $162.18 | $281.84 |
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 $165.96 Median $281.84 Typical High $691.83 | Professional | None (both parts) | $165.96 | $281.84 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $74.13 Typical High $131.83 | Professional | 26 · Professional part | $58.88 | $74.13 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $177.83 Typical High $537.03 | Professional | TC · Technical part | $102.33 | $177.83 | $537.03 |
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 $69.18 Median $69.18 Typical High $79.43 | Professional | 52 · Reduced service | $69.18 | $69.18 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $31.62 | Professional | 53 · Discontinued | $27.54 | $27.54 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $112.20 Typical High $117.49 | Professional | FX · Film X-ray | $112.20 | $112.20 | $117.49 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $120.23 Median $257.04 Typical High $426.58 | Professional | 51 · Multiple procedures | $120.23 | $257.04 | $426.58 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $47.86 Median $102.33 Typical High $169.82 | Professional | 80 · Assistant surgeon | $47.86 | $102.33 | $169.82 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $33.11 Median $70.79 Typical High $120.23 | Professional | 81 · Minimal assistant surgeon | $33.11 | $70.79 | $120.23 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $33.11 Median $70.79 Typical High $120.23 | Professional | 82 · Assistant surgeon, no resident | $33.11 | $70.79 | $120.23 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $33.11 Median $70.79 Typical High $120.23 | Professional | AS · PA/NP assist | $33.11 | $70.79 | $120.23 |
Where South Carolina sits
The same service costs 4.4 times more in Alaska than in Texas. 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
$200
AK $513TX $117
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.