How much rates vary
Facilitymedian $2,188 · 10th to 90th $676 to $8,318Professionalmedian $191 · 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 $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $190.55 | Professional | None (both parts) | $131.83 | $131.83 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $54.95 | Professional | 26 · Professional part | $45.71 | $45.71 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $131.83 | Professional | TC · Technical part | $85.11 | $85.11 | $131.83 |
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 $158.49 Median $524.81 Typical High $741.31 | Professional | None (both parts) | $158.49 | $524.81 | $741.31 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $107.15 Typical High $120.23 | Professional | 26 · Professional part | $52.48 | $107.15 | $120.23 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $407.38 Typical High $478.63 | Professional | TC · Technical part | $104.71 | $407.38 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $8,317.64 Typical High $16,595.87 | Facility | None | $660.69 | $8,317.64 | $16,595.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $346.74 Typical High $645.65 | Professional | None (both parts) | $181.97 | $346.74 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $66.07 Typical High $114.82 | Professional | 26 · Professional part | $56.23 | $66.07 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $288.40 Typical High $524.81 | Professional | TC · Technical part | $114.82 | $288.40 | $524.81 |
Medcost Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Medcost Setting Facility Modifier None Typical Low $131.83 Median $436.52 Typical High $1,202.26 | Facility | None | $131.83 | $436.52 | $1,202.26 |
Medcost Setting Professional Modifier None (both parts) Typical Low $181.97 Median $501.19 Typical High $831.76 | Professional | None (both parts) | $181.97 | $501.19 | $831.76 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $100.00 Typical High $147.91 | Professional | 26 · Professional part | $89.13 | $100.00 | $147.91 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $257.04 Typical High $616.60 | Professional | TC · Technical part | $173.78 | $257.04 | $616.60 |
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 $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 $52.48 Median $66.07 Typical High $114.82 | Professional | 26 · Professional part | $52.48 | $66.07 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $169.82 Typical High $524.81 | Professional | TC · Technical part | $100.00 | $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 $66.07 Median $66.07 Typical High $74.13 | Professional | 52 · Reduced service | $66.07 | $66.07 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $29.51 | Professional | 53 · Discontinued | $26.30 | $26.30 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $104.71 Typical High $109.65 | Professional | FX · Film X-ray | $104.71 | $104.71 | $109.65 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $114.82 Median $251.19 Typical High $416.87 | Professional | 51 · Multiple procedures | $114.82 | $251.19 | $416.87 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $45.71 Median $100.00 Typical High $165.96 | Professional | 80 · Assistant surgeon | $45.71 | $100.00 | $165.96 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $31.62 Median $70.79 Typical High $117.49 | Professional | 81 · Minimal assistant surgeon | $31.62 | $70.79 | $117.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $31.62 Median $70.79 Typical High $117.49 | Professional | 82 · Assistant surgeon, no resident | $31.62 | $70.79 | $117.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $31.62 Median $70.79 Typical High $117.49 | Professional | AS · PA/NP assist | $31.62 | $70.79 | $117.49 |
Where South Carolina sits
The same service costs 4.0 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· 38th of 51
$195
AK $479TX $120
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.