How much rates vary
Facilitymedian $1,585 · 10th to 90th $447 to $2,344Professionalmedian $112 · 10th to 90th $30 to $437
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 $1,949.84 Typical High $3,311.31 | Facility | None | $112.20 | $1,949.84 | $3,311.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $501.19 | Professional | None (both parts) | $112.20 | $112.20 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.91 Typical High $141.25 | Professional | 26 · Professional part | $22.39 | $22.91 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $338.84 | Professional | TC · Technical part | $97.72 | $97.72 | $338.84 |
BCBS South Carolina Setting Facility Modifier None Typical Low $776.25 Median $1,659.59 Typical High $2,344.23 | Facility | None | $776.25 | $1,659.59 | $2,344.23 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | TC · Technical part | $1,071.52 | $1,071.52 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $446.68 Typical High $457.09 | Facility | None | $295.12 | $446.68 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $138.04 Typical High $371.54 | Professional | None (both parts) | $91.20 | $138.04 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $27.54 Typical High $51.29 | Professional | 26 · Professional part | $18.20 | $27.54 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $109.65 Typical High $204.17 | Professional | TC · Technical part | $72.44 | $109.65 | $204.17 |
Medcost Setting Facility Modifier None Typical Low $66.07 Median $112.20 Typical High $151.36 | Facility | None | $66.07 | $112.20 | $151.36 |
Medcost Setting Professional Modifier None (both parts) Typical Low $109.65 Median $128.82 Typical High $288.40 | Professional | None (both parts) | $109.65 | $128.82 | $288.40 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $58.88 | Professional | 26 · Professional part | $25.70 | $25.70 | $58.88 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $457.09 Typical High $489.78 | Professional | TC · Technical part | $134.90 | $457.09 | $489.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
United Setting Facility Modifier None Typical Low $363.08 Median $446.68 Typical High $575.44 | Facility | None | $363.08 | $446.68 | $575.44 |
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 $47.86 Median $56.23 Typical High $125.89 | Professional | 52 · Reduced service | $47.86 | $56.23 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $22.39 Typical High $50.12 | Professional | 53 · Discontinued | $19.50 | $22.39 | $50.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $91.20 Typical High $120.23 | Professional | FX · Film X-ray | $91.20 | $91.20 | $120.23 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $64.57 Median $64.57 Typical High $144.54 | Professional | 51 · Multiple procedures | $64.57 | $64.57 | $144.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $25.70 Median $25.70 Typical High $56.23 | Professional | 80 · Assistant surgeon | $25.70 | $25.70 | $56.23 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $18.20 Median $18.20 Typical High $39.81 | Professional | 81 · Minimal assistant surgeon | $18.20 | $18.20 | $39.81 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $18.20 Median $18.20 Typical High $39.81 | Professional | 82 · Assistant surgeon, no resident | $18.20 | $18.20 | $39.81 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $18.20 Median $18.20 Typical High $39.81 | Professional | AS · PA/NP assist | $18.20 | $18.20 | $39.81 |
Where South Carolina sits
The same service costs 5.5 times more in Maine than in Ohio. 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
$132
ME $550OH $100
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.