How much rates vary
Facilitymedian $4,898 · 10th to 90th $776 to $12,882Professionalmedian $123 · 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 $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $223.87 | Professional | None (both parts) | $93.33 | $93.33 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $64.57 | Professional | 26 · Professional part | $44.67 | $44.67 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $158.49 | Professional | TC · Technical part | $48.98 | $48.98 | $158.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $56.23 | $56.23 | $56.23 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,995.26 Median $5,128.61 Typical High $12,302.69 | Facility | None | $1,995.26 | $5,128.61 | $12,302.69 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | TC · Technical part | $1,949.84 | $1,949.84 | $1,949.84 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $107.15 Median $524.81 Typical High $741.31 | Professional | None (both parts) | $107.15 | $524.81 | $741.31 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $79.43 Typical High $125.89 | Professional | 26 · Professional part | $50.12 | $79.43 | $125.89 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $398.11 Typical High $562.34 | Professional | TC · Technical part | $56.23 | $398.11 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $8,317.64 Typical High $16,595.87 | Facility | None | $371.54 | $8,317.64 | $16,595.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $323.59 Typical High $645.65 | Professional | None (both parts) | $131.83 | $323.59 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $63.10 Typical High $112.20 | Professional | 26 · Professional part | $52.48 | $63.10 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $251.19 Typical High $524.81 | Professional | TC · Technical part | $72.44 | $251.19 | $524.81 |
Medcost Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
Medcost Setting Facility Modifier None Typical Low $93.33 Median $309.03 Typical High $3,801.89 | Facility | None | $93.33 | $309.03 | $3,801.89 |
Medcost Setting Professional Modifier None (both parts) Typical Low $128.82 Median $416.87 Typical High $831.76 | Professional | None (both parts) | $128.82 | $416.87 | $831.76 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $95.50 Typical High $144.54 | Professional | 26 · Professional part | $81.28 | $95.50 | $144.54 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $218.78 Typical High $602.56 | Professional | TC · Technical part | $100.00 | $218.78 | $602.56 |
Molina Setting Professional Modifier None (both parts) Typical Low $52.48 Median $102.33 Typical High $169.82 | Professional | None (both parts) | $52.48 | $102.33 | $169.82 |
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 $117.49 Median $204.17 Typical High $616.60 | Professional | None (both parts) | $117.49 | $204.17 | $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 $64.57 Median $114.82 Typical High $501.19 | Professional | TC · Technical part | $64.57 | $114.82 | $501.19 |
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 $46.77 Median $46.77 Typical High $53.70 | Professional | 52 · Reduced service | $46.77 | $46.77 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $21.38 | Professional | 53 · Discontinued | $18.62 | $18.62 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $75.86 Typical High $81.28 | Professional | FX · Film X-ray | $75.86 | $75.86 | $81.28 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $81.28 Median $208.93 Typical High $416.87 | Professional | 51 · Multiple procedures | $81.28 | $208.93 | $416.87 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $32.36 Median $83.18 Typical High $165.96 | Professional | 80 · Assistant surgeon | $32.36 | $83.18 | $165.96 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $22.91 Median $58.88 Typical High $117.49 | Professional | 81 · Minimal assistant surgeon | $22.91 | $58.88 | $117.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $22.91 Median $58.88 Typical High $117.49 | Professional | 82 · Assistant surgeon, no resident | $22.91 | $58.88 | $117.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $22.91 Median $58.88 Typical High $117.49 | Professional | AS · PA/NP assist | $22.91 | $58.88 | $117.49 |
Where South Carolina sits
The same service costs 4.8 times more in Kansas 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· 44th of 51
$129
KS $363UT $75.86
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.