How much rates vary
Facilitymedian $479 · 10th to 90th $214 to $759Professionalmedian $170 · 10th to 90th $93 to $282
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 $199.53 Median $1,122.02 Typical High $2,630.27 | Facility | None | $199.53 | $1,122.02 | $2,630.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $128.82 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $45.71 | $83.18 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $190.55 Typical High $190.55 | Professional | TC · Technical part | $83.18 | $190.55 | $190.55 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $194.98 | $194.98 | $194.98 |
BCBS South Carolina Setting Facility Modifier None Typical Low $239.88 Median $512.86 Typical High $707.95 | Facility | None | $239.88 | $512.86 | $707.95 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | TC · Technical part | $309.03 | $309.03 | $309.03 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $123.03 Median $223.87 Typical High $295.12 | Professional | None (both parts) | $123.03 | $223.87 | $295.12 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $69.18 Typical High $100.00 | Professional | 26 · Professional part | $43.65 | $69.18 | $100.00 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $154.88 Typical High $194.98 | Professional | TC · Technical part | $81.28 | $154.88 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $446.68 Typical High $562.34 | Facility | None | $338.84 | $446.68 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $181.97 Typical High $338.84 | Professional | None (both parts) | $154.88 | $181.97 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $54.95 Typical High $95.50 | Professional | 26 · Professional part | $44.67 | $54.95 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $138.04 Typical High $229.09 | Professional | TC · Technical part | $102.33 | $138.04 | $229.09 |
Medcost Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Medcost Setting Facility Modifier None Typical Low $138.04 Median $275.42 Typical High $371.54 | Facility | None | $138.04 | $275.42 | $371.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $147.91 Median $234.42 Typical High $302.00 | Professional | None (both parts) | $147.91 | $234.42 | $302.00 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $83.18 Typical High $123.03 | Professional | 26 · Professional part | $69.18 | $83.18 | $123.03 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $141.25 Typical High $151.36 | Professional | TC · Technical part | $134.90 | $141.25 | $151.36 |
Molina Setting Professional Modifier None (both parts) Typical Low $51.29 Median $141.25 Typical High $229.09 | Professional | None (both parts) | $51.29 | $141.25 | $229.09 |
United Setting Facility Modifier None Typical Low $363.08 Median $446.68 Typical High $575.44 | Facility | None | $363.08 | $446.68 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $181.97 Typical High $323.59 | Professional | None (both parts) | $134.90 | $181.97 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $56.23 Typical High $100.00 | Professional | 26 · Professional part | $43.65 | $56.23 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $131.83 Typical High $229.09 | Professional | TC · Technical part | $89.13 | $131.83 | $229.09 |
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 $61.66 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $61.66 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $24.55 | $54.95 | $54.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $97.72 | $218.78 | $218.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $91.20 Median $117.49 Typical High $162.18 | Professional | 51 · Multiple procedures | $91.20 | $117.49 | $162.18 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $37.15 Median $47.86 Typical High $64.57 | Professional | 80 · Assistant surgeon | $37.15 | $47.86 | $64.57 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $25.70 Median $33.11 Typical High $45.71 | Professional | 81 · Minimal assistant surgeon | $25.70 | $33.11 | $45.71 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $25.70 Median $33.11 Typical High $45.71 | Professional | 82 · Assistant surgeon, no resident | $25.70 | $33.11 | $45.71 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $25.70 Median $33.11 Typical High $45.71 | Professional | AS · PA/NP assist | $25.70 | $33.11 | $45.71 |
Where South Carolina sits
The same service costs 4.3 times more in Alaska than in Utah. 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· 27th of 51
$178
AK $447UT $105
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.