How much rates vary
Facilitymedian $302 · 10th to 90th $129 to $417Professionalmedian $60 · 10th to 90th $38 to $166
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 $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $38.02 Typical High $60.26 | Professional | None (both parts) | $38.02 | $38.02 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $26.30 | Professional | 26 · Professional part | $18.62 | $18.62 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $19.50 Typical High $32.36 | Professional | TC · Technical part | $19.50 | $19.50 | $32.36 |
BCBS South Carolina Setting Facility Modifier None Typical Low $147.91 Median $309.03 Typical High $407.38 | Facility | None | $147.91 | $309.03 | $407.38 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | TC · Technical part | $181.97 | $181.97 | $181.97 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $93.33 Typical High $165.96 | Professional | None (both parts) | $44.67 | $93.33 | $165.96 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $32.36 Typical High $52.48 | Professional | 26 · Professional part | $21.88 | $32.36 | $52.48 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $47.86 Typical High $134.90 | Professional | TC · Technical part | $23.44 | $47.86 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $281.84 Typical High $562.34 | Facility | None | $147.91 | $281.84 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $67.61 Typical High $114.82 | Professional | None (both parts) | $53.70 | $67.61 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.18 Typical High $52.48 | Professional | 26 · Professional part | $23.99 | $28.18 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $38.90 Typical High $63.10 | Professional | TC · Technical part | $30.20 | $38.90 | $63.10 |
Medcost Setting Facility Modifier None Typical Low $38.02 Median $89.13 Typical High $208.93 | Facility | None | $38.02 | $89.13 | $208.93 |
Medcost Setting Professional Modifier None (both parts) Typical Low $52.48 Median $77.62 Typical High $165.96 | Professional | None (both parts) | $52.48 | $77.62 | $165.96 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $44.67 Typical High $70.79 | Professional | 26 · Professional part | $38.02 | $44.67 | $70.79 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $57.54 Typical High $69.18 | Professional | TC · Technical part | $38.90 | $57.54 | $69.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $31.62 Median $41.69 Typical High $61.66 | Professional | None (both parts) | $31.62 | $41.69 | $61.66 |
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 $43.65 Median $64.57 Typical High $107.15 | Professional | None (both parts) | $43.65 | $64.57 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $28.18 Typical High $46.77 | Professional | 26 · Professional part | $20.42 | $28.18 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $36.31 Typical High $64.57 | Professional | TC · Technical part | $22.91 | $36.31 | $64.57 |
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 $19.05 Median $19.05 Typical High $20.42 | Professional | 52 · Reduced service | $19.05 | $19.05 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $8.13 | Professional | 53 · Discontinued | $7.59 | $7.59 | $8.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.90 Median $30.90 Typical High $31.62 | Professional | FX · Film X-ray | $30.90 | $30.90 | $31.62 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $33.11 Median $40.74 Typical High $83.18 | Professional | 51 · Multiple procedures | $33.11 | $40.74 | $83.18 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $13.18 Median $16.22 Typical High $33.11 | Professional | 80 · Assistant surgeon | $13.18 | $16.22 | $33.11 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.12 Median $11.48 Typical High $22.91 | Professional | 81 · Minimal assistant surgeon | $9.12 | $11.48 | $22.91 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.12 Median $11.48 Typical High $22.91 | Professional | 82 · Assistant surgeon, no resident | $9.12 | $11.48 | $22.91 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $9.12 Median $11.48 Typical High $22.91 | Professional | AS · PA/NP assist | $9.12 | $11.48 | $22.91 |
Where South Carolina sits
The same service costs 4.5 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· 33rd of 51
$64.57
AK $141UT $31.62
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.