How much rates vary
Facilitymedian $5,248 · 10th to 90th $871 to $12,882Professionalmedian $151 · 10th to 90th $66 to $661
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 $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $128.82 | Professional | None (both parts) | $112.20 | $112.20 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $58.88 | Professional | 26 · Professional part | $54.95 | $54.95 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $69.18 | Professional | TC · Technical part | $57.54 | $57.54 | $69.18 |
BCBS South Carolina Setting Facility Modifier None Typical Low $2,691.53 Median $5,248.07 Typical High $12,589.25 | Facility | None | $2,691.53 | $5,248.07 | $12,589.25 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | TC · Technical part | $1,949.84 | $1,949.84 | $1,949.84 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $128.82 Median $537.03 Typical High $758.58 | Professional | None (both parts) | $128.82 | $537.03 | $758.58 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $61.66 Typical High $79.43 | Professional | 26 · Professional part | $44.67 | $61.66 | $79.43 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $288.40 Typical High $467.74 | Professional | TC · Technical part | $66.07 | $288.40 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $8,317.64 Typical High $16,595.87 | Facility | None | $436.52 | $8,317.64 | $16,595.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $338.84 Typical High $660.69 | Professional | None (both parts) | $154.88 | $338.84 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $79.43 Typical High $144.54 | Professional | 26 · Professional part | $66.07 | $79.43 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $269.15 Typical High $562.34 | Professional | TC · Technical part | $83.18 | $269.15 | $562.34 |
Medcost Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None | $316.23 | $316.23 | $316.23 |
Medcost Setting Facility Modifier None Typical Low $112.20 Median $371.54 Typical High $3,801.89 | Facility | None | $112.20 | $371.54 | $3,801.89 |
Medcost Setting Professional Modifier None (both parts) Typical Low $154.88 Median $457.09 Typical High $851.14 | Professional | None (both parts) | $154.88 | $457.09 | $851.14 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $120.23 Typical High $165.96 | Professional | 26 · Professional part | $104.71 | $120.23 | $165.96 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $223.87 Typical High $602.56 | Professional | TC · Technical part | $117.49 | $223.87 | $602.56 |
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 $141.25 Median $239.88 Typical High $630.96 | Professional | None (both parts) | $141.25 | $239.88 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $81.28 Typical High $141.25 | Professional | 26 · Professional part | $63.10 | $81.28 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $131.83 Typical High $524.81 | Professional | TC · Technical part | $74.13 | $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 $56.23 Median $56.23 Typical High $64.57 | Professional | 52 · Reduced service | $56.23 | $56.23 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $25.70 | Professional | 53 · Discontinued | $22.39 | $22.39 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $91.20 Typical High $97.72 | Professional | FX · Film X-ray | $91.20 | $91.20 | $97.72 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $97.72 Median $229.09 Typical High $426.58 | Professional | 51 · Multiple procedures | $97.72 | $229.09 | $426.58 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $38.90 Median $91.20 Typical High $173.78 | Professional | 80 · Assistant surgeon | $38.90 | $91.20 | $173.78 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $27.54 Median $64.57 Typical High $120.23 | Professional | 81 · Minimal assistant surgeon | $27.54 | $64.57 | $120.23 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $27.54 Median $64.57 Typical High $120.23 | Professional | 82 · Assistant surgeon, no resident | $27.54 | $64.57 | $120.23 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $27.54 Median $64.57 Typical High $120.23 | Professional | AS · PA/NP assist | $27.54 | $64.57 | $120.23 |
Where South Carolina sits
The same service costs 4.7 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· 41st of 51
$158
AK $427TX $91.20
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.