How much rates vary
Facilitymedian $1,259 · 10th to 90th $389 to $3,631Professionalmedian $214 · 10th to 90th $132 to $417
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 $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $323.59 | Professional | None (both parts) | $213.80 | $213.80 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $109.65 | Professional | 26 · Professional part | $67.61 | $67.61 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $147.91 Typical High $234.42 | Professional | TC · Technical part | $144.54 | $147.91 | $234.42 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None (both parts) | $457.09 | $457.09 | $457.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $85.11 | $141.25 | $141.25 |
BCBS South Carolina Setting Facility Modifier None Typical Low $467.74 Median $1,288.25 Typical High $3,630.78 | Facility | None | $467.74 | $1,288.25 | $3,630.78 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | TC · Technical part | $467.74 | $467.74 | $467.74 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $151.36 Median $213.80 Typical High $269.15 | Professional | None (both parts) | $151.36 | $213.80 | $269.15 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $77.62 Typical High $109.65 | Professional | 26 · Professional part | $54.95 | $77.62 | $109.65 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $102.33 Typical High $169.82 | Professional | TC · Technical part | $79.43 | $102.33 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $1,445.44 Typical High $2,884.03 | Facility | None | $831.76 | $1,445.44 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $213.80 Typical High $436.52 | Professional | None (both parts) | $177.83 | $213.80 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $87.10 Typical High $144.54 | Professional | 26 · Professional part | $75.86 | $87.10 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $123.03 Typical High $302.00 | Professional | TC · Technical part | $91.20 | $123.03 | $302.00 |
Medcost Setting Facility Modifier None Typical Low $151.36 Median $288.40 Typical High $724.44 | Facility | None | $151.36 | $288.40 | $724.44 |
Medcost Setting Professional Modifier None (both parts) Typical Low $257.04 Median $281.84 Typical High $524.81 | Professional | None (both parts) | $257.04 | $281.84 | $524.81 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $134.90 Typical High $158.49 | Professional | 26 · Professional part | $117.49 | $134.90 | $158.49 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $165.96 Typical High $316.23 | Professional | TC · Technical part | $141.25 | $165.96 | $316.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $114.82 Median $208.93 Typical High $416.87 | Professional | None (both parts) | $114.82 | $208.93 | $416.87 |
United Setting Facility Modifier None Typical Low $2,290.87 Median $2,754.23 Typical High $3,630.78 | Facility | None | $2,290.87 | $2,754.23 | $3,630.78 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $257.04 Typical High $457.09 | Professional | None (both parts) | $177.83 | $257.04 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $83.18 Typical High $151.36 | Professional | 26 · Professional part | $69.18 | $83.18 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $169.82 Typical High $302.00 | Professional | TC · Technical part | $102.33 | $169.82 | $302.00 |
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 $107.15 Median $107.15 Typical High $117.49 | Professional | 52 · Reduced service | $107.15 | $107.15 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $46.77 | Professional | 53 · Discontinued | $42.66 | $42.66 | $46.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $173.78 Typical High $186.21 | Professional | FX · Film X-ray | $173.78 | $173.78 | $186.21 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $269.15 Median $269.15 Typical High $380.19 | Professional | 59 · Distinct service | $269.15 | $269.15 | $380.19 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $128.82 Median $141.25 Typical High $263.03 | Professional | 51 · Multiple procedures | $128.82 | $141.25 | $263.03 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $51.29 Median $56.23 Typical High $104.71 | Professional | 80 · Assistant surgeon | $51.29 | $56.23 | $104.71 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $36.31 Median $39.81 Typical High $72.44 | Professional | 81 · Minimal assistant surgeon | $36.31 | $39.81 | $72.44 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $36.31 Median $39.81 Typical High $72.44 | Professional | 82 · Assistant surgeon, no resident | $36.31 | $39.81 | $72.44 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $36.31 Median $39.81 Typical High $72.44 | Professional | AS · PA/NP assist | $36.31 | $39.81 | $72.44 |
Where South Carolina sits
The same service costs 5.0 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· 44th of 51
$229
AK $794UT $158
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.