How much rates vary
Facilitymedian $2,042 · 10th to 90th $513 to $8,318Professionalmedian $148 · 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 $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $134.90 | Professional | None (both parts) | $109.65 | $109.65 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $50.12 | Professional | 26 · Professional part | $44.67 | $44.67 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $81.28 | Professional | TC · Technical part | $66.07 | $66.07 | $81.28 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,174.90 Median $2,187.76 Typical High $4,168.69 | Facility | None | $1,174.90 | $2,187.76 | $4,168.69 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | TC · Technical part | $831.76 | $831.76 | $831.76 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $125.89 Median $524.81 Typical High $741.31 | Professional | None (both parts) | $125.89 | $524.81 | $741.31 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $63.10 Typical High $97.72 | Professional | 26 · Professional part | $50.12 | $63.10 | $97.72 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $331.13 Typical High $467.74 | Professional | TC · Technical part | $77.62 | $331.13 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $8,317.64 Typical High $16,595.87 | Facility | None | $501.19 | $8,317.64 | $16,595.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $331.13 Typical High $645.65 | Professional | None (both parts) | $151.36 | $331.13 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $64.57 Typical High $112.20 | Professional | 26 · Professional part | $52.48 | $64.57 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $281.84 Typical High $524.81 | Professional | TC · Technical part | $91.20 | $281.84 | $524.81 |
Medcost Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None | $316.23 | $316.23 | $316.23 |
Medcost Setting Facility Modifier None Typical Low $109.65 Median $190.55 Typical High $1,202.26 | Facility | None | $109.65 | $190.55 | $1,202.26 |
Medcost Setting Professional Modifier None (both parts) Typical Low $151.36 Median $457.09 Typical High $831.76 | Professional | None (both parts) | $151.36 | $457.09 | $831.76 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $95.50 Typical High $134.90 | Professional | 26 · Professional part | $81.28 | $95.50 | $134.90 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $239.88 Typical High $602.56 | Professional | TC · Technical part | $131.83 | $239.88 | $602.56 |
Molina Setting Professional Modifier None (both parts) Typical Low $52.48 Median $112.20 Typical High $229.09 | Professional | None (both parts) | $52.48 | $112.20 | $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 $134.90 Median $234.42 Typical High $616.60 | Professional | None (both parts) | $134.90 | $234.42 | $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 $81.28 Median $144.54 Typical High $524.81 | Professional | TC · Technical part | $81.28 | $144.54 | $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 $54.95 Median $54.95 Typical High $63.10 | Professional | 52 · Reduced service | $54.95 | $54.95 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $25.12 | Professional | 53 · Discontinued | $22.39 | $22.39 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $89.13 Typical High $93.33 | Professional | FX · Film X-ray | $89.13 | $89.13 | $93.33 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $95.50 Median $229.09 Typical High $416.87 | Professional | 51 · Multiple procedures | $95.50 | $229.09 | $416.87 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $38.02 Median $93.33 Typical High $165.96 | Professional | 80 · Assistant surgeon | $38.02 | $93.33 | $165.96 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $26.92 Median $64.57 Typical High $117.49 | Professional | 81 · Minimal assistant surgeon | $26.92 | $64.57 | $117.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $26.92 Median $64.57 Typical High $117.49 | Professional | 82 · Assistant surgeon, no resident | $26.92 | $64.57 | $117.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $26.92 Median $64.57 Typical High $117.49 | Professional | AS · PA/NP assist | $26.92 | $64.57 | $117.49 |
Where South Carolina sits
The same service costs 4.3 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
$158
AK $407UT $95.50
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.