How much rates vary
Facilitymedian $794 · 10th to 90th $468 to $2,138Professionalmedian $355 · 10th to 90th $126 to $1,148
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $794.33 Typical High $933.25 | Professional | None (both parts) | $794.33 | $794.33 | $933.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $67.61 | Professional | 26 · Professional part | $58.88 | $58.88 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $741.31 Typical High $851.14 | Professional | TC · Technical part | $741.31 | $741.31 | $851.14 |
BCBS South Carolina Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $3,162.28 | Facility | None | $562.34 | $562.34 | $3,162.28 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $295.12 Median $1,000.00 Typical High $1,445.44 | Professional | None (both parts) | $295.12 | $1,000.00 | $1,445.44 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $123.03 Typical High $151.36 | Professional | 26 · Professional part | $85.11 | $123.03 | $151.36 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $851.14 Typical High $1,071.52 | Professional | TC · Technical part | $173.78 | $851.14 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,000.00 Typical High $1,659.59 | Professional | None (both parts) | $870.96 | $1,000.00 | $1,659.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $72.44 Typical High $123.03 | Professional | 26 · Professional part | $60.26 | $72.44 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $933.25 Typical High $1,548.82 | Professional | TC · Technical part | $812.83 | $933.25 | $1,548.82 |
Medcost Setting Facility Modifier None Typical Low $467.74 Median $870.96 Typical High $1,071.52 | Facility | None | $467.74 | $870.96 | $1,071.52 |
Medcost Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,288.25 Typical High $1,513.56 | Professional | None (both parts) | $891.25 | $1,288.25 | $1,513.56 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $109.65 Typical High $154.88 | Professional | 26 · Professional part | $95.50 | $109.65 | $154.88 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $1,348.96 Typical High $1,584.89 | Professional | TC · Technical part | $588.84 | $1,348.96 | $1,584.89 |
Molina Setting Professional Modifier None (both parts) Typical Low $114.82 Median $269.15 Typical High $562.34 | Professional | None (both parts) | $114.82 | $269.15 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $501.19 Median $933.25 Typical High $1,584.89 | Professional | None (both parts) | $501.19 | $933.25 | $1,584.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $75.86 Typical High $120.23 | Professional | 26 · Professional part | $60.26 | $75.86 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $851.14 Typical High $1,479.11 | Professional | TC · Technical part | $436.52 | $851.14 | $1,479.11 |
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 $398.11 Median $398.11 Typical High $426.58 | Professional | 52 · Reduced service | $398.11 | $398.11 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $169.82 | Professional | 53 · Discontinued | $158.49 | $158.49 | $169.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $645.65 Median $645.65 Typical High $676.08 | Professional | FX · Film X-ray | $645.65 | $645.65 | $676.08 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $446.68 Median $691.83 Typical High $851.14 | Professional | 51 · Multiple procedures | $446.68 | $691.83 | $851.14 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $181.97 Median $275.42 Typical High $338.84 | Professional | 80 · Assistant surgeon | $181.97 | $275.42 | $338.84 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $125.89 Median $194.98 Typical High $239.88 | Professional | 81 · Minimal assistant surgeon | $125.89 | $194.98 | $239.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $125.89 Median $194.98 Typical High $239.88 | Professional | 82 · Assistant surgeon, no resident | $125.89 | $194.98 | $239.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $125.89 Median $194.98 Typical High $239.88 | Professional | AS · PA/NP assist | $125.89 | $194.98 | $239.88 |
Where South Carolina sits
The same service costs 20.4 times more in Alaska than in Oregon. 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· 47th of 51
$363
AK $2,754OR $135
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.