How much rates vary
Facilitymedian $339 · 10th to 90th $174 to $661Professionalmedian $141 · 10th to 90th $87 to $240
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 $128.82 Median $128.82 Typical High $223.87 | Facility | None | $128.82 | $128.82 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $181.97 | Professional | None (both parts) | $128.82 | $128.82 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $66.07 | Professional | 26 · Professional part | $50.12 | $50.12 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $77.62 Typical High $112.20 | Professional | TC · Technical part | $75.86 | $77.62 | $112.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $251.19 | $251.19 | $251.19 |
BCBS South Carolina Setting Facility Modifier None Typical Low $194.98 Median $346.74 Typical High $630.96 | Facility | None | $194.98 | $346.74 | $630.96 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | TC · Technical part | $134.90 | $134.90 | $134.90 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $117.49 Median $141.25 Typical High $190.55 | Professional | None (both parts) | $117.49 | $141.25 | $190.55 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $81.28 Typical High $102.33 | Professional | 26 · Professional part | $61.66 | $81.28 | $102.33 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $60.26 Typical High $100.00 | Professional | TC · Technical part | $22.91 | $60.26 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $489.78 Typical High $741.31 | Facility | None | $281.84 | $489.78 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $141.25 Typical High $269.15 | Professional | None (both parts) | $109.65 | $141.25 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $60.26 Typical High $104.71 | Professional | 26 · Professional part | $48.98 | $60.26 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $69.18 Typical High $162.18 | Professional | TC · Technical part | $60.26 | $69.18 | $162.18 |
Medcost Setting Facility Modifier None Typical Low $104.71 Median $173.78 Typical High $446.68 | Facility | None | $104.71 | $173.78 | $446.68 |
Medcost Setting Professional Modifier None (both parts) Typical Low $169.82 Median $177.83 Typical High $204.17 | Professional | None (both parts) | $169.82 | $177.83 | $204.17 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $93.33 Typical High $107.15 | Professional | 26 · Professional part | $77.62 | $93.33 | $107.15 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $93.33 Typical High $165.96 | Professional | TC · Technical part | $91.20 | $93.33 | $165.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $75.86 Median $131.83 Typical High $263.03 | Professional | None (both parts) | $75.86 | $131.83 | $263.03 |
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 $107.15 Median $144.54 Typical High $263.03 | Professional | None (both parts) | $107.15 | $144.54 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $60.26 Typical High $104.71 | Professional | 26 · Professional part | $47.86 | $60.26 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $79.43 Typical High $154.88 | Professional | TC · Technical part | $57.54 | $79.43 | $154.88 |
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 $64.57 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | FX · Film X-ray | $102.33 | $102.33 | $102.33 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $85.11 Median $89.13 Typical High $131.83 | Professional | 51 · Multiple procedures | $85.11 | $89.13 | $131.83 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $33.88 Median $35.48 Typical High $52.48 | Professional | 80 · Assistant surgeon | $33.88 | $35.48 | $52.48 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $23.99 Median $24.55 Typical High $36.31 | Professional | 81 · Minimal assistant surgeon | $23.99 | $24.55 | $36.31 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $23.99 Median $24.55 Typical High $36.31 | Professional | 82 · Assistant surgeon, no resident | $23.99 | $24.55 | $36.31 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $23.99 Median $24.55 Typical High $36.31 | Professional | AS · PA/NP assist | $23.99 | $24.55 | $36.31 |
Where South Carolina sits
The same service costs 4.9 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· 45th of 51
$141
AK $468UT $95.50
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.