How much rates vary
Facilitymedian $2,188 · 10th to 90th $646 to $8,318Professionalmedian $148 · 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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $190.55 | Professional | None (both parts) | $104.71 | $104.71 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $57.54 | Professional | 26 · Professional part | $45.71 | $45.71 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $141.25 | Professional | TC · Technical part | $58.88 | $58.88 | $141.25 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,174.90 Median $2,187.76 Typical High $4,168.69 | Facility | None | $1,174.90 | $2,187.76 | $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 $123.03 Median $524.81 Typical High $741.31 | Professional | None (both parts) | $123.03 | $524.81 | $741.31 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $64.57 Typical High $97.72 | Professional | 26 · Professional part | $52.48 | $64.57 | $97.72 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $295.12 Typical High $467.74 | Professional | TC · Technical part | $70.79 | $295.12 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $8,317.64 Typical High $16,595.87 | Facility | None | $446.68 | $8,317.64 | $16,595.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $331.13 Typical High $645.65 | Professional | None (both parts) | $144.54 | $331.13 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $114.82 | Professional | 26 · Professional part | $53.70 | $64.57 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $275.42 Typical High $524.81 | Professional | TC · Technical part | $85.11 | $275.42 | $524.81 |
Medcost Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Medcost Setting Facility Modifier None Typical Low $104.71 Median $338.84 Typical High $1,202.26 | Facility | None | $104.71 | $338.84 | $1,202.26 |
Medcost Setting Professional Modifier None (both parts) Typical Low $144.54 Median $426.58 Typical High $831.76 | Professional | None (both parts) | $144.54 | $426.58 | $831.76 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $97.72 Typical High $134.90 | Professional | 26 · Professional part | $83.18 | $97.72 | $134.90 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $223.87 Typical High $562.34 | Professional | TC · Technical part | $117.49 | $223.87 | $562.34 |
Molina Setting Professional Modifier None (both parts) Typical Low $52.48 Median $112.20 Typical High $229.09 | Professional | None (both parts) | $52.48 | $112.20 | $229.09 |
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 $128.82 Median $223.87 Typical High $616.60 | Professional | None (both parts) | $128.82 | $223.87 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $66.07 Typical High $114.82 | Professional | 26 · Professional part | $50.12 | $66.07 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $131.83 Typical High $524.81 | Professional | TC · Technical part | $75.86 | $131.83 | $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 $51.29 Median $51.29 Typical High $58.88 | Professional | 52 · Reduced service | $51.29 | $51.29 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $23.44 | Professional | 53 · Discontinued | $20.89 | $20.89 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $83.18 Typical High $89.13 | Professional | FX · Film X-ray | $83.18 | $83.18 | $89.13 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $89.13 Median $213.80 Typical High $416.87 | Professional | 51 · Multiple procedures | $89.13 | $213.80 | $416.87 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $35.48 Median $85.11 Typical High $165.96 | Professional | 80 · Assistant surgeon | $35.48 | $85.11 | $165.96 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $25.12 Median $60.26 Typical High $117.49 | Professional | 81 · Minimal assistant surgeon | $25.12 | $60.26 | $117.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $25.12 Median $60.26 Typical High $117.49 | Professional | 82 · Assistant surgeon, no resident | $25.12 | $60.26 | $117.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $25.12 Median $60.26 Typical High $117.49 | Professional | AS · PA/NP assist | $25.12 | $60.26 | $117.49 |
Where South Carolina sits
The same service costs 4.1 times more in Alaska than in Texas. 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
$155
AK $389TX $95.50
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.