How much rates vary
Facilitymedian $5,248 · 10th to 90th $912 to $14,454Professionalmedian $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 $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $257.04 | Professional | None (both parts) | $117.49 | $117.49 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $63.10 | Professional | 26 · Professional part | $43.65 | $43.65 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $190.55 | Professional | TC · Technical part | $72.44 | $72.44 | $190.55 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $53.70 | $53.70 | $53.70 |
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 $134.90 Median $524.81 Typical High $741.31 | Professional | None (both parts) | $134.90 | $524.81 | $741.31 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $75.86 Typical High $117.49 | Professional | 26 · Professional part | $48.98 | $75.86 | $117.49 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $407.38 Typical High $562.34 | Professional | TC · Technical part | $85.11 | $407.38 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $14,454.40 Typical High $28,840.32 | Facility | None | $562.34 | $14,454.40 | $28,840.32 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $338.84 Typical High $645.65 | Professional | None (both parts) | $162.18 | $338.84 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $64.57 Typical High $109.65 | Professional | 26 · Professional part | $52.48 | $64.57 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $288.40 Typical High $562.34 | Professional | TC · Technical part | $100.00 | $288.40 | $562.34 |
Medcost Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
Medcost Setting Facility Modifier None Typical Low $117.49 Median $389.05 Typical High $3,801.89 | Facility | None | $117.49 | $389.05 | $3,801.89 |
Medcost Setting Professional Modifier None (both parts) Typical Low $162.18 Median $467.74 Typical High $831.76 | Professional | None (both parts) | $162.18 | $467.74 | $831.76 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $95.50 Typical High $131.83 | Professional | 26 · Professional part | $83.18 | $95.50 | $131.83 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $251.19 Typical High $602.56 | Professional | TC · Technical part | $147.91 | $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 $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 $141.25 Median $245.47 Typical High $616.60 | Professional | None (both parts) | $141.25 | $245.47 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $64.57 Typical High $112.20 | Professional | 26 · Professional part | $50.12 | $64.57 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $154.88 Typical High $524.81 | Professional | TC · Technical part | $89.13 | $154.88 | $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 $58.88 Median $58.88 Typical High $67.61 | Professional | 52 · Reduced service | $58.88 | $58.88 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $26.92 | Professional | 53 · Discontinued | $23.44 | $23.44 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $93.33 Typical High $100.00 | Professional | FX · Film X-ray | $93.33 | $93.33 | $100.00 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $100.00 Median $234.42 Typical High $416.87 | Professional | 51 · Multiple procedures | $100.00 | $234.42 | $416.87 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $40.74 Median $95.50 Typical High $165.96 | Professional | 80 · Assistant surgeon | $40.74 | $95.50 | $165.96 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $28.18 Median $66.07 Typical High $117.49 | Professional | 81 · Minimal assistant surgeon | $28.18 | $66.07 | $117.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $28.18 Median $66.07 Typical High $117.49 | Professional | 82 · Assistant surgeon, no resident | $28.18 | $66.07 | $117.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $28.18 Median $66.07 Typical High $117.49 | Professional | AS · PA/NP assist | $28.18 | $66.07 | $117.49 |
Where South Carolina sits
The same service costs 4.2 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· 37th of 51
$178
AK $437UT $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.