How much rates vary
Facilitymedian $2,188 · 10th to 90th $646 to $8,318Professionalmedian $191 · 10th to 90th $91 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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $165.96 | Professional | None (both parts) | $128.82 | $128.82 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $57.54 | Professional | 26 · Professional part | $48.98 | $48.98 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $107.15 | Professional | TC · Technical part | $79.43 | $79.43 | $107.15 |
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 $173.78 Median $524.81 Typical High $741.31 | Professional | None (both parts) | $173.78 | $524.81 | $741.31 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $63.10 Typical High $100.00 | Professional | 26 · Professional part | $60.26 | $63.10 | $100.00 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $467.74 Typical High $549.54 | Professional | TC · Technical part | $112.20 | $467.74 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $8,317.64 Typical High $16,595.87 | Facility | None | $630.96 | $8,317.64 | $16,595.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $331.13 Typical High $645.65 | Professional | None (both parts) | $181.97 | $331.13 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $64.57 Typical High $112.20 | Professional | 26 · Professional part | $52.48 | $64.57 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $275.42 Typical High $524.81 | Professional | TC · Technical part | $114.82 | $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 $128.82 Median $173.78 Typical High $416.87 | Facility | None | $128.82 | $173.78 | $416.87 |
Medcost Setting Professional Modifier None (both parts) Typical Low $177.83 Median $426.58 Typical High $831.76 | Professional | None (both parts) | $177.83 | $426.58 | $831.76 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $97.72 Typical High $144.54 | Professional | 26 · Professional part | $81.28 | $97.72 | $144.54 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $229.09 Typical High $562.34 | Professional | TC · Technical part | $158.49 | $229.09 | $562.34 |
Molina Setting Professional Modifier None (both parts) Typical Low $77.62 Median $162.18 Typical High $275.42 | Professional | None (both parts) | $77.62 | $162.18 | $275.42 |
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 $169.82 Median $239.88 Typical High $616.60 | Professional | None (both parts) | $169.82 | $239.88 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $66.07 Typical High $125.89 | Professional | 26 · Professional part | $53.70 | $66.07 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $173.78 Typical High $524.81 | Professional | TC · Technical part | $109.65 | $173.78 | $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 $64.57 Median $64.57 Typical High $74.13 | Professional | 52 · Reduced service | $64.57 | $64.57 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $29.51 | Professional | 53 · Discontinued | $25.70 | $25.70 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $102.33 Typical High $112.20 | Professional | FX · Film X-ray | $102.33 | $102.33 | $112.20 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $109.65 Median $213.80 Typical High $416.87 | Professional | 51 · Multiple procedures | $109.65 | $213.80 | $416.87 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $43.65 Median $85.11 Typical High $165.96 | Professional | 80 · Assistant surgeon | $43.65 | $85.11 | $165.96 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $30.90 Median $58.88 Typical High $117.49 | Professional | 81 · Minimal assistant surgeon | $30.90 | $58.88 | $117.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $30.90 Median $58.88 Typical High $117.49 | Professional | 82 · Assistant surgeon, no resident | $30.90 | $58.88 | $117.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $30.90 Median $58.88 Typical High $117.49 | Professional | AS · PA/NP assist | $30.90 | $58.88 | $117.49 |
Where South Carolina sits
The same service costs 3.8 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· 37th of 51
$200
AK $468UT $123
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.