How much rates vary
Facilitymedian $1,950 · 10th to 90th $490 to $4,169Professionalmedian $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 $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $120.23 | Professional | None (both parts) | $107.15 | $107.15 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $48.98 | Professional | 26 · Professional part | $45.71 | $45.71 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $69.18 | Professional | TC · Technical part | $60.26 | $60.26 | $69.18 |
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 $117.49 Median $524.81 Typical High $741.31 | Professional | None (both parts) | $117.49 | $524.81 | $741.31 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $63.10 Typical High $70.79 | Professional | 26 · Professional part | $51.29 | $63.10 | $70.79 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $302.00 Typical High $467.74 | Professional | TC · Technical part | $67.61 | $302.00 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $1,659.59 Typical High $3,311.31 | Facility | None | $446.68 | $1,659.59 | $3,311.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $338.84 Typical High $645.65 | Professional | None (both parts) | $147.91 | $338.84 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $64.57 Typical High $120.23 | Professional | 26 · Professional part | $54.95 | $64.57 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $288.40 Typical High $524.81 | Professional | TC · Technical part | $87.10 | $288.40 | $524.81 |
Medcost Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
Medcost Setting Facility Modifier None Typical Low $107.15 Median $144.54 Typical High $489.78 | Facility | None | $107.15 | $144.54 | $489.78 |
Medcost Setting Professional Modifier None (both parts) Typical Low $147.91 Median $501.19 Typical High $831.76 | Professional | None (both parts) | $147.91 | $501.19 | $831.76 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $95.50 Typical High $144.54 | Professional | 26 · Professional part | $85.11 | $95.50 | $144.54 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $281.84 Typical High $616.60 | Professional | TC · Technical part | $120.23 | $281.84 | $616.60 |
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 $2,630.27 Median $3,162.28 Typical High $4,168.69 | Facility | None | $2,630.27 | $3,162.28 | $4,168.69 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $239.88 Typical High $645.65 | Professional | None (both parts) | $131.83 | $239.88 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $64.57 Typical High $117.49 | Professional | 26 · Professional part | $52.48 | $64.57 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $138.04 Typical High $524.81 | Professional | TC · Technical part | $77.62 | $138.04 | $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 $53.70 Median $53.70 Typical High $60.26 | Professional | 52 · Reduced service | $53.70 | $53.70 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $23.99 | Professional | 53 · Discontinued | $21.38 | $21.38 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $85.11 Typical High $91.20 | Professional | FX · Film X-ray | $85.11 | $85.11 | $91.20 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $91.20 Median $251.19 Typical High $416.87 | Professional | 51 · Multiple procedures | $91.20 | $251.19 | $416.87 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $37.15 Median $100.00 Typical High $165.96 | Professional | 80 · Assistant surgeon | $37.15 | $100.00 | $165.96 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $25.70 Median $70.79 Typical High $117.49 | Professional | 81 · Minimal assistant surgeon | $25.70 | $70.79 | $117.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $25.70 Median $70.79 Typical High $117.49 | Professional | 82 · Assistant surgeon, no resident | $25.70 | $70.79 | $117.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $25.70 Median $70.79 Typical High $117.49 | Professional | AS · PA/NP assist | $25.70 | $70.79 | $117.49 |
Where South Carolina sits
The same service costs 4.9 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· 40th of 51
$155
AK $398TX $81.28
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.