How much rates vary
Facilitymedian $1,445 · 10th to 90th $692 to $8,318Professionalmedian $363 · 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 $2,344.23 Median $2,344.23 Typical High $2,454.71 | Professional | None (both parts) | $2,344.23 | $2,344.23 | $2,454.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $52.48 | Professional | 26 · Professional part | $44.67 | $44.67 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2,344.23 Median $2,344.23 Typical High $2,454.71 | Professional | TC · Technical part | $2,344.23 | $2,344.23 | $2,454.71 |
BCBS South Carolina Setting Facility Modifier None Typical Low $630.96 Median $1,258.93 Typical High $2,454.71 | Facility | None | $630.96 | $1,258.93 | $2,454.71 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | TC · Technical part | $426.58 | $426.58 | $426.58 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $302.00 Median $346.74 Typical High $2,818.38 | Professional | None (both parts) | $302.00 | $346.74 | $2,818.38 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $81.28 Typical High $128.82 | Professional | 26 · Professional part | $50.12 | $81.28 | $128.82 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $269.15 Typical High $2,754.23 | Professional | TC · Technical part | $173.78 | $269.15 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $8,317.64 Typical High $16,595.87 | Facility | None | $1,258.93 | $8,317.64 | $16,595.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $309.03 Typical High $549.54 | Professional | None (both parts) | $269.15 | $309.03 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $66.07 Typical High $117.49 | Professional | 26 · Professional part | $53.70 | $66.07 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $239.88 Typical High $436.52 | Professional | TC · Technical part | $213.80 | $239.88 | $436.52 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $112.20 | $112.20 | $112.20 |
Medcost Setting Facility Modifier None Typical Low $269.15 Median $2,570.40 Typical High $3,162.28 | Facility | None | $269.15 | $2,570.40 | $3,162.28 |
Medcost Setting Professional Modifier None (both parts) Typical Low $275.42 Median $512.86 Typical High $4,365.16 | Professional | None (both parts) | $275.42 | $512.86 | $4,365.16 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $97.72 Typical High $131.83 | Professional | 26 · Professional part | $85.11 | $97.72 | $131.83 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $371.54 Typical High $5,128.61 | Professional | TC · Technical part | $234.42 | $371.54 | $5,128.61 |
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 $281.84 Median $2,570.40 Typical High $5,128.61 | Professional | None (both parts) | $281.84 | $2,570.40 | $5,128.61 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $66.07 Typical High $114.82 | Professional | 26 · Professional part | $51.29 | $66.07 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $2,511.89 Typical High $5,248.07 | Professional | TC · Technical part | $223.87 | $2,511.89 | $5,248.07 |
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 $138.04 Median $257.04 Typical High $2,511.89 | Professional | 51 · Multiple procedures | $138.04 | $257.04 | $2,511.89 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $54.95 Median $102.33 Typical High $1,000.00 | Professional | 80 · Assistant surgeon | $54.95 | $102.33 | $1,000.00 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $38.02 Median $70.79 Typical High $707.95 | Professional | 81 · Minimal assistant surgeon | $38.02 | $70.79 | $707.95 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $38.02 Median $70.79 Typical High $707.95 | Professional | 82 · Assistant surgeon, no resident | $38.02 | $70.79 | $707.95 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $38.02 Median $70.79 Typical High $707.95 | Professional | AS · PA/NP assist | $38.02 | $70.79 | $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· 35th of 51
$427
CO $3,890NJ $257
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.