How much rates vary
Facilitymedian $525 · 10th to 90th $166 to $2,042Professionalmedian $120 · 10th to 90th $62 to $224
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 $275.42 Median $1,258.93 Typical High $2,630.27 | Facility | None | $275.42 | $1,258.93 | $2,630.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $112.20 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $54.95 | $83.18 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $190.55 Typical High $190.55 | Professional | TC · Technical part | $57.54 | $190.55 | $190.55 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $42.66 | $42.66 | $42.66 |
BCBS South Carolina Setting Facility Modifier None Typical Low $645.65 Median $724.44 Typical High $1,174.90 | Facility | None | $645.65 | $724.44 | $1,174.90 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $107.15 Median $186.21 Typical High $263.03 | Professional | None (both parts) | $107.15 | $186.21 | $263.03 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $83.18 Typical High $138.04 | Professional | 26 · Professional part | $52.48 | $83.18 | $138.04 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $79.43 Typical High $138.04 | Professional | TC · Technical part | $53.70 | $79.43 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $1,174.90 | Facility | None | $524.81 | $524.81 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $141.25 Typical High $239.88 | Professional | None (both parts) | $120.23 | $141.25 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $63.10 Typical High $102.33 | Professional | 26 · Professional part | $54.95 | $63.10 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $87.10 Typical High $141.25 | Professional | TC · Technical part | $60.26 | $87.10 | $141.25 |
Medcost Setting Facility Modifier None Typical Low $141.25 Median $275.42 Typical High $371.54 | Facility | None | $141.25 | $275.42 | $371.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $128.82 Median $186.21 Typical High $281.84 | Professional | None (both parts) | $128.82 | $186.21 | $281.84 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $100.00 Typical High $128.82 | Professional | 26 · Professional part | $77.62 | $100.00 | $128.82 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $100.00 Typical High $165.96 | Professional | TC · Technical part | $77.62 | $100.00 | $165.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $54.95 Median $102.33 Typical High $173.78 | Professional | None (both parts) | $54.95 | $102.33 | $173.78 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $138.04 Typical High $245.47 | Professional | None (both parts) | $104.71 | $138.04 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $64.57 Typical High $104.71 | Professional | 26 · Professional part | $52.48 | $64.57 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $70.79 Typical High $154.88 | Professional | TC · Technical part | $53.70 | $70.79 | $154.88 |
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 $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $56.23 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $22.39 | $54.95 | $54.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $89.13 | $218.78 | $218.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $77.62 Median $109.65 Typical High $141.25 | Professional | 51 · Multiple procedures | $77.62 | $109.65 | $141.25 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $30.90 Median $43.65 Typical High $57.54 | Professional | 80 · Assistant surgeon | $30.90 | $43.65 | $57.54 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $21.88 Median $30.90 Typical High $39.81 | Professional | 81 · Minimal assistant surgeon | $21.88 | $30.90 | $39.81 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $21.88 Median $30.90 Typical High $39.81 | Professional | 82 · Assistant surgeon, no resident | $21.88 | $30.90 | $39.81 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $21.88 Median $30.90 Typical High $39.81 | Professional | AS · PA/NP assist | $21.88 | $30.90 | $39.81 |
Where South Carolina sits
The same service costs 5.6 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· 44th of 51
$120
AK $447TX $79.43
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.