How much rates vary
Facilitymedian $1,349 · 10th to 90th $676 to $8,318Professionalmedian $339 · 10th to 90th $56 to $2,818
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 $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | None | $2,344.23 | $2,344.23 | $2,344.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,238.72 Median $2,344.23 Typical High $2,454.71 | Professional | None (both parts) | $2,238.72 | $2,344.23 | $2,454.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $38.90 | Professional | 26 · Professional part | $33.11 | $33.11 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2,238.72 Median $2,344.23 Typical High $2,454.71 | Professional | TC · Technical part | $2,238.72 | $2,344.23 | $2,454.71 |
BCBS South Carolina Setting Facility Modifier None Typical Low $616.60 Median $1,258.93 Typical High $2,454.71 | Facility | None | $616.60 | $1,258.93 | $2,454.71 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | TC · Technical part | $416.87 | $416.87 | $416.87 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $281.84 Median $323.59 Typical High $2,818.38 | Professional | None (both parts) | $281.84 | $323.59 | $2,818.38 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $37.15 | $89.13 | $89.13 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $316.23 Typical High $2,884.03 | Professional | TC · Technical part | $190.55 | $316.23 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $8,317.64 Typical High $16,595.87 | Facility | None | $1,318.26 | $8,317.64 | $16,595.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $288.40 Typical High $512.86 | Professional | None (both parts) | $251.19 | $288.40 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $45.71 Typical High $81.28 | Professional | 26 · Professional part | $37.15 | $45.71 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $239.88 Typical High $426.58 | Professional | TC · Technical part | $213.80 | $239.88 | $426.58 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $77.62 | $77.62 | $77.62 |
Medcost Setting Facility Modifier None Typical Low $251.19 Median $2,187.76 Typical High $3,019.95 | Facility | None | $251.19 | $2,187.76 | $3,019.95 |
Medcost Setting Professional Modifier None (both parts) Typical Low $257.04 Median $478.63 Typical High $4,365.16 | Professional | None (both parts) | $257.04 | $478.63 | $4,365.16 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $67.61 Typical High $95.50 | Professional | 26 · Professional part | $58.88 | $67.61 | $95.50 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $380.19 Typical High $5,011.87 | Professional | TC · Technical part | $234.42 | $380.19 | $5,011.87 |
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 $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 $263.03 Median $1,288.25 Typical High $3,467.37 | Professional | None (both parts) | $263.03 | $1,288.25 | $3,467.37 |
United 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 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $1,288.25 Typical High $3,467.37 | Professional | TC · Technical part | $223.87 | $1,288.25 | $3,467.37 |
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 $1,174.90 Median $1,174.90 Typical High $1,230.27 | Professional | 52 · Reduced service | $1,174.90 | $1,174.90 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $467.74 Typical High $489.78 | Professional | 53 · Discontinued | $467.74 | $467.74 | $489.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,905.46 Median $1,905.46 Typical High $1,949.84 | Professional | FX · Film X-ray | $1,905.46 | $1,905.46 | $1,949.84 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $128.82 Median $239.88 Typical High $2,511.89 | Professional | 51 · Multiple procedures | $128.82 | $239.88 | $2,511.89 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $51.29 Median $95.50 Typical High $1,000.00 | Professional | 80 · Assistant surgeon | $51.29 | $95.50 | $1,000.00 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $35.48 Median $66.07 Typical High $707.95 | Professional | 81 · Minimal assistant surgeon | $35.48 | $66.07 | $707.95 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $35.48 Median $66.07 Typical High $707.95 | Professional | 82 · Assistant surgeon, no resident | $35.48 | $66.07 | $707.95 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $35.48 Median $66.07 Typical High $707.95 | Professional | AS · PA/NP assist | $35.48 | $66.07 | $707.95 |
Where South Carolina sits
The same service costs 15.1 times more in Colorado 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· 37th of 51
$407
CO $3,715NJ $245
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.