How much rates vary
Facilitymedian $347 · 10th to 90th $123 to $631Professionalmedian $110 · 10th to 90th $66 to $204
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 $91.20 Median $114.82 Typical High $162.18 | Facility | None | $91.20 | $114.82 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $204.17 | Professional | None (both parts) | $91.20 | $91.20 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $37.15 | Professional | 26 · Professional part | $22.91 | $22.91 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $120.23 | Professional | TC · Technical part | $67.61 | $67.61 | $120.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $81.28 Median $112.20 Typical High $186.21 | Professional | None (both parts) | $81.28 | $112.20 | $186.21 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $25.70 Typical High $46.77 | Professional | 26 · Professional part | $20.42 | $25.70 | $46.77 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $75.86 Typical High $107.15 | Professional | TC · Technical part | $60.26 | $75.86 | $107.15 |
BCBS South Carolina Setting Facility Modifier None Typical Low $208.93 Median $380.19 Typical High $630.96 | Facility | None | $208.93 | $380.19 | $630.96 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | TC · Technical part | $213.80 | $213.80 | $213.80 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $102.33 Median $109.65 Typical High $199.53 | Professional | None (both parts) | $102.33 | $109.65 | $199.53 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $48.98 Typical High $61.66 | Professional | 26 · Professional part | $25.70 | $48.98 | $61.66 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $75.86 Typical High $138.04 | Professional | TC · Technical part | $52.48 | $75.86 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $389.05 Typical High $575.44 | Facility | None | $281.84 | $389.05 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $109.65 Typical High $208.93 | Professional | None (both parts) | $93.33 | $109.65 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $29.51 Typical High $50.12 | Professional | 26 · Professional part | $25.12 | $29.51 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $79.43 Typical High $154.88 | Professional | TC · Technical part | $64.57 | $79.43 | $154.88 |
Medcost Setting Facility Modifier None Typical Low $77.62 Median $138.04 Typical High $309.03 | Facility | None | $77.62 | $138.04 | $309.03 |
Medcost Setting Professional Modifier None (both parts) Typical Low $114.82 Median $131.83 Typical High $165.96 | Professional | None (both parts) | $114.82 | $131.83 | $165.96 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $46.77 Typical High $58.88 | Professional | 26 · Professional part | $39.81 | $46.77 | $58.88 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $109.65 Typical High $144.54 | Professional | TC · Technical part | $97.72 | $109.65 | $144.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $50.12 Median $112.20 Typical High $223.87 | Professional | None (both parts) | $50.12 | $112.20 | $223.87 |
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 $91.20 Median $112.20 Typical High $199.53 | Professional | None (both parts) | $91.20 | $112.20 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $28.84 Typical High $51.29 | Professional | 26 · Professional part | $23.44 | $28.84 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $81.28 Typical High $144.54 | Professional | TC · Technical part | $67.61 | $81.28 | $144.54 |
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 $45.71 Median $45.71 Typical High $48.98 | Professional | 52 · Reduced service | $45.71 | $45.71 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $19.50 | Professional | 53 · Discontinued | $18.20 | $18.20 | $19.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $72.44 Typical High $79.43 | Professional | FX · Film X-ray | $72.44 | $72.44 | $79.43 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $57.54 Median $74.13 Typical High $97.72 | Professional | 51 · Multiple procedures | $57.54 | $74.13 | $97.72 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $22.91 Median $30.20 Typical High $38.90 | Professional | 80 · Assistant surgeon | $22.91 | $30.20 | $38.90 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.22 Median $20.89 Typical High $27.54 | Professional | 81 · Minimal assistant surgeon | $16.22 | $20.89 | $27.54 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.22 Median $20.89 Typical High $27.54 | Professional | 82 · Assistant surgeon, no resident | $16.22 | $20.89 | $27.54 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $16.22 Median $20.89 Typical High $27.54 | Professional | AS · PA/NP assist | $16.22 | $20.89 | $27.54 |
Where South Carolina sits
The same service costs 4.1 times more in Minnesota than in Florida. 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· 42nd of 51
$112
MN $363FL $89.13
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.