How much rates vary
Facilitymedian $1,820 · 10th to 90th $457 to $4,169Professionalmedian $100 · 10th to 90th $66 to $174
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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $102.33 | Professional | None (both parts) | $89.13 | $89.13 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $30.20 | Professional | 26 · Professional part | $28.18 | $28.18 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $70.79 | Professional | TC · Technical part | $60.26 | $60.26 | $70.79 |
BCBS South Carolina Setting Facility Modifier None Typical Low $954.99 Median $1,949.84 Typical High $4,168.69 | Facility | None | $954.99 | $1,949.84 | $4,168.69 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | TC · Technical part | $630.96 | $630.96 | $630.96 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $75.86 Median $91.20 Typical High $125.89 | Professional | None (both parts) | $75.86 | $91.20 | $125.89 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $39.81 Typical High $44.67 | Professional | 26 · Professional part | $31.62 | $39.81 | $44.67 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $66.07 Typical High $74.13 | Professional | TC · Technical part | $37.15 | $66.07 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $1,659.59 Typical High $3,235.94 | Facility | None | $446.68 | $1,659.59 | $3,235.94 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $120.23 Typical High $263.03 | Professional | None (both parts) | $83.18 | $120.23 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $39.81 Typical High $69.18 | Professional | 26 · Professional part | $32.36 | $39.81 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $75.86 Typical High $181.97 | Professional | TC · Technical part | $42.66 | $75.86 | $181.97 |
Medcost Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
Medcost Setting Facility Modifier None Typical Low $67.61 Median $97.72 Typical High $288.40 | Facility | None | $67.61 | $97.72 | $288.40 |
Medcost Setting Professional Modifier None (both parts) Typical Low $114.82 Median $123.03 Typical High $177.83 | Professional | None (both parts) | $114.82 | $123.03 | $177.83 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $57.54 Typical High $77.62 | Professional | 26 · Professional part | $35.48 | $57.54 | $77.62 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $114.82 Typical High $190.55 | Professional | TC · Technical part | $81.28 | $114.82 | $190.55 |
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 $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 $100.00 Median $128.82 Typical High $234.42 | Professional | None (both parts) | $100.00 | $128.82 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $39.81 Typical High $70.79 | Professional | 26 · Professional part | $31.62 | $39.81 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $85.11 Typical High $162.18 | Professional | TC · Technical part | $66.07 | $85.11 | $162.18 |
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 $44.67 Median $44.67 Typical High $51.29 | Professional | 52 · Reduced service | $44.67 | $44.67 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $20.42 | Professional | 53 · Discontinued | $17.78 | $17.78 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $70.79 Typical High $75.86 | Professional | FX · Film X-ray | $70.79 | $70.79 | $75.86 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $57.54 Median $67.61 Typical High $120.23 | Professional | 51 · Multiple procedures | $57.54 | $67.61 | $120.23 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $22.91 Median $26.92 Typical High $44.67 | Professional | 80 · Assistant surgeon | $22.91 | $26.92 | $44.67 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.22 Median $19.05 Typical High $31.62 | Professional | 81 · Minimal assistant surgeon | $16.22 | $19.05 | $31.62 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.22 Median $19.05 Typical High $31.62 | Professional | 82 · Assistant surgeon, no resident | $16.22 | $19.05 | $31.62 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $16.22 Median $19.05 Typical High $31.62 | Professional | AS · PA/NP assist | $16.22 | $19.05 | $31.62 |
Where South Carolina sits
The same service costs 4.6 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· 46th of 51
$102
AK $324TX $70.79
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.