How much rates vary
Facilitymedian $2,188 · 10th to 90th $490 to $4,571Professionalmedian $126 · 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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $208.93 | Professional | None (both parts) | $97.72 | $97.72 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $58.88 | Professional | 26 · Professional part | $44.67 | $44.67 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $158.49 | Professional | TC · Technical part | $53.70 | $53.70 | $158.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $41.69 | $41.69 | $41.69 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,174.90 Median $2,238.72 Typical High $4,168.69 | Facility | None | $1,174.90 | $2,238.72 | $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 $112.20 Median $524.81 Typical High $741.31 | Professional | None (both parts) | $112.20 | $524.81 | $741.31 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $79.43 Typical High $125.89 | Professional | 26 · Professional part | $51.29 | $79.43 | $125.89 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $263.03 Typical High $398.11 | Professional | TC · Technical part | $61.66 | $263.03 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $4,168.69 Typical High $8,128.31 | Facility | None | $389.05 | $4,168.69 | $8,128.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $323.59 Typical High $645.65 | Professional | None (both parts) | $138.04 | $323.59 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $63.10 Typical High $109.65 | Professional | 26 · Professional part | $51.29 | $63.10 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $263.03 Typical High $524.81 | Professional | TC · Technical part | $77.62 | $263.03 | $524.81 |
Medcost Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
Medcost Setting Facility Modifier None Typical Low $97.72 Median $316.23 Typical High $1,202.26 | Facility | None | $97.72 | $316.23 | $1,202.26 |
Medcost Setting Professional Modifier None (both parts) Typical Low $134.90 Median $426.58 Typical High $831.76 | Professional | None (both parts) | $134.90 | $426.58 | $831.76 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $95.50 Typical High $141.25 | Professional | 26 · Professional part | $79.43 | $95.50 | $141.25 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $218.78 Typical High $602.56 | Professional | TC · Technical part | $107.15 | $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 $6,606.93 Median $7,943.28 Typical High $10,471.29 | Facility | None | $6,606.93 | $7,943.28 | $10,471.29 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $208.93 Typical High $616.60 | Professional | None (both parts) | $123.03 | $208.93 | $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 $69.18 Median $120.23 Typical High $524.81 | Professional | TC · Technical part | $69.18 | $120.23 | $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 $48.98 Median $48.98 Typical High $56.23 | Professional | 52 · Reduced service | $48.98 | $48.98 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $22.39 | Professional | 53 · Discontinued | $19.50 | $19.50 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $79.43 Typical High $85.11 | Professional | FX · Film X-ray | $79.43 | $79.43 | $85.11 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $85.11 Median $213.80 Typical High $416.87 | Professional | 51 · Multiple procedures | $85.11 | $213.80 | $416.87 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $33.88 Median $85.11 Typical High $165.96 | Professional | 80 · Assistant surgeon | $33.88 | $85.11 | $165.96 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $23.99 Median $58.88 Typical High $117.49 | Professional | 81 · Minimal assistant surgeon | $23.99 | $58.88 | $117.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $23.99 Median $58.88 Typical High $117.49 | Professional | 82 · Assistant surgeon, no resident | $23.99 | $58.88 | $117.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $23.99 Median $58.88 Typical High $117.49 | Professional | AS · PA/NP assist | $23.99 | $58.88 | $117.49 |
Where South Carolina sits
The same service costs 4.8 times more in Alaska 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· 43rd of 51
$132
AK $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.