How much rates vary
Facilitymedian $1,288 · 10th to 90th $575 to $2,455Professionalmedian $309 · 10th to 90th $56 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 $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None (both parts) | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $38.90 | Professional | 26 · Professional part | $35.48 | $35.48 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | TC · Technical part | $457.09 | $457.09 | $457.09 |
BCBS South Carolina Setting Facility Modifier None Typical Low $602.56 Median $1,230.27 Typical High $2,454.71 | Facility | None | $602.56 | $1,230.27 | $2,454.71 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | TC · Technical part | $407.38 | $407.38 | $407.38 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $257.04 Median $295.12 Typical High $575.44 | Professional | None (both parts) | $257.04 | $295.12 | $575.44 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $45.71 Typical High $72.44 | Professional | 26 · Professional part | $41.69 | $45.71 | $72.44 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $239.88 Typical High $524.81 | Professional | TC · Technical part | $208.93 | $239.88 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $1,659.59 Typical High $3,235.94 | Facility | None | $1,258.93 | $1,659.59 | $3,235.94 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $263.03 Typical High $478.63 | Professional | None (both parts) | $223.87 | $263.03 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $46.77 Typical High $83.18 | Professional | 26 · Professional part | $37.15 | $46.77 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $218.78 Typical High $398.11 | Professional | TC · Technical part | $186.21 | $218.78 | $398.11 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 26 · Professional part | $87.10 | $87.10 | $87.10 |
Medcost Setting Facility Modifier None Typical Low $229.09 Median $512.86 Typical High $630.96 | Facility | None | $229.09 | $512.86 | $630.96 |
Medcost Setting Professional Modifier None (both parts) Typical Low $234.42 Median $426.58 Typical High $891.25 | Professional | None (both parts) | $234.42 | $426.58 | $891.25 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $69.18 Typical High $100.00 | Professional | 26 · Professional part | $58.88 | $69.18 | $100.00 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $331.13 Typical High $1,258.93 | Professional | TC · Technical part | $234.42 | $331.13 | $1,258.93 |
Molina Setting Professional Modifier None (both parts) Typical Low $35.48 Median $45.71 Typical High $66.07 | Professional | None (both parts) | $35.48 | $45.71 | $66.07 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $3,162.28 Typical High $4,168.69 | Facility | None | $2,630.27 | $3,162.28 | $4,168.69 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $602.56 Typical High $1,202.26 | Professional | None (both parts) | $234.42 | $602.56 | $1,202.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $48.98 Typical High $87.10 | Professional | 26 · Professional part | $38.02 | $48.98 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $575.44 Typical High $1,122.02 | Professional | TC · Technical part | $199.53 | $575.44 | $1,122.02 |
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 $234.42 Median $234.42 Typical High $234.42 | Professional | 52 · Reduced service | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $95.50 | Professional | 53 · Discontinued | $93.33 | $93.33 | $95.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $371.54 Median $371.54 Typical High $380.19 | Professional | FX · Film X-ray | $371.54 | $371.54 | $380.19 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $114.82 Median $213.80 Typical High $549.54 | Professional | 51 · Multiple procedures | $114.82 | $213.80 | $549.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $46.77 Median $87.10 Typical High $218.78 | Professional | 80 · Assistant surgeon | $46.77 | $87.10 | $218.78 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $32.36 Median $60.26 Typical High $151.36 | Professional | 81 · Minimal assistant surgeon | $32.36 | $60.26 | $151.36 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $32.36 Median $60.26 Typical High $151.36 | Professional | 82 · Assistant surgeon, no resident | $32.36 | $60.26 | $151.36 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $32.36 Median $60.26 Typical High $151.36 | Professional | AS · PA/NP assist | $32.36 | $60.26 | $151.36 |
Where South Carolina sits
The same service costs 4.8 times more in Alaska than in New Jersey. 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
$363
AK $1,000NJ $209
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.