How much rates vary
Facilitymedian $380 · 10th to 90th $126 to $631Professionalmedian $69 · 10th to 90th $39 to $158
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 $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $97.72 | Professional | None (both parts) | $39.81 | $39.81 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $52.48 | Professional | 26 · Professional part | $25.70 | $25.70 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $14.13 Typical High $42.66 | Professional | TC · Technical part | $14.13 | $14.13 | $42.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $46.77 Median $51.29 Typical High $85.11 | Professional | None (both parts) | $46.77 | $51.29 | $85.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $43.65 Typical High $53.70 | Professional | 26 · Professional part | $32.36 | $43.65 | $53.70 |
BCBS South Carolina Setting Facility Modifier None Typical Low $213.80 Median $407.38 Typical High $630.96 | Facility | None | $213.80 | $407.38 | $630.96 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | TC · Technical part | $234.42 | $234.42 | $234.42 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $46.77 Median $114.82 Typical High $213.80 | Professional | None (both parts) | $46.77 | $114.82 | $213.80 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $64.57 Typical High $81.28 | Professional | 26 · Professional part | $29.51 | $64.57 | $81.28 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $50.12 Typical High $134.90 | Professional | TC · Technical part | $16.98 | $50.12 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $281.84 Typical High $575.44 | Facility | None | $107.15 | $281.84 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $91.20 Typical High $151.36 | Professional | None (both parts) | $61.66 | $91.20 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $44.67 Typical High $77.62 | Professional | 26 · Professional part | $35.48 | $44.67 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $46.77 Typical High $74.13 | Professional | TC · Technical part | $24.55 | $46.77 | $74.13 |
Medcost Setting Facility Modifier None Typical Low $39.81 Median $53.70 Typical High $131.83 | Facility | None | $39.81 | $53.70 | $131.83 |
Medcost Setting Professional Modifier None (both parts) Typical Low $54.95 Median $107.15 Typical High $194.98 | Professional | None (both parts) | $54.95 | $107.15 | $194.98 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $60.26 Typical High $81.28 | Professional | 26 · Professional part | $51.29 | $60.26 | $81.28 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $51.29 Typical High $93.33 | Professional | TC · Technical part | $28.18 | $51.29 | $93.33 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $58.88 Typical High $112.20 | Professional | None (both parts) | $33.88 | $58.88 | $112.20 |
United Setting Facility Modifier None Typical Low $436.52 Median $537.03 Typical High $691.83 | Facility | None | $436.52 | $537.03 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $45.71 Median $79.43 Typical High $158.49 | Professional | None (both parts) | $45.71 | $79.43 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $44.67 Typical High $75.86 | Professional | 26 · Professional part | $28.84 | $44.67 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $33.88 Typical High $75.86 | Professional | TC · Technical part | $18.20 | $33.88 | $75.86 |
9 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 $19.95 Median $19.95 Typical High $20.89 | Professional | 52 · Reduced service | $19.95 | $19.95 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $8.32 | Professional | 53 · Discontinued | $7.94 | $7.94 | $8.32 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $31.62 Median $31.62 Typical High $33.11 | Professional | FX · Film X-ray | $31.62 | $31.62 | $33.11 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $102.33 Median $186.21 Typical High $288.40 | Professional | 50 · Both sides | $102.33 | $186.21 | $288.40 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $33.88 Median $61.66 Typical High $95.50 | Professional | 51 · Multiple procedures | $33.88 | $61.66 | $95.50 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $13.80 Median $24.55 Typical High $38.90 | Professional | 80 · Assistant surgeon | $13.80 | $24.55 | $38.90 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.55 Median $17.38 Typical High $26.92 | Professional | 81 · Minimal assistant surgeon | $9.55 | $17.38 | $26.92 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.55 Median $17.38 Typical High $26.92 | Professional | 82 · Assistant surgeon, no resident | $9.55 | $17.38 | $26.92 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $9.55 Median $17.38 Typical High $26.92 | Professional | AS · PA/NP assist | $9.55 | $17.38 | $26.92 |
Where South Carolina sits
The same service costs 3.8 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· 32nd of 51
$72.44
AK $151TX $39.81
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.