How much rates vary
Facilitymedian $562 · 10th to 90th $224 to $1,000Professionalmedian $120 · 10th to 90th $66 to $245
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 $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $165.96 | Professional | None (both parts) | $95.50 | $95.50 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $50.12 | Professional | 26 · Professional part | $28.84 | $28.84 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $112.20 | Professional | TC · Technical part | $66.07 | $66.07 | $112.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $154.88 | $154.88 | $154.88 |
BCBS South Carolina Setting Facility Modifier None Typical Low $309.03 Median $562.34 Typical High $1,000.00 | Facility | None | $309.03 | $562.34 | $1,000.00 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | TC · Technical part | $263.03 | $263.03 | $263.03 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $109.65 Median $162.18 Typical High $245.47 | Professional | None (both parts) | $109.65 | $162.18 | $245.47 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $79.43 Typical High $104.71 | Professional | 26 · Professional part | $33.88 | $79.43 | $104.71 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $81.28 Typical High $162.18 | Professional | TC · Technical part | $34.67 | $81.28 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $645.65 Typical High $1,288.25 | Facility | None | $489.78 | $645.65 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $117.49 Typical High $218.78 | Professional | None (both parts) | $102.33 | $117.49 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $64.57 | Professional | 26 · Professional part | $32.36 | $38.02 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $79.43 Typical High $154.88 | Professional | TC · Technical part | $69.18 | $79.43 | $154.88 |
Medcost Setting Facility Modifier None Typical Low $89.13 Median $134.90 Typical High $501.19 | Facility | None | $89.13 | $134.90 | $501.19 |
Medcost Setting Professional Modifier None (both parts) Typical Low $131.83 Median $151.36 Typical High $169.82 | Professional | None (both parts) | $131.83 | $151.36 | $169.82 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $60.26 Typical High $67.61 | Professional | 26 · Professional part | $50.12 | $60.26 | $67.61 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $112.20 Typical High $141.25 | Professional | TC · Technical part | $104.71 | $112.20 | $141.25 |
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 $1,000.00 Median $1,202.26 Typical High $1,584.89 | Facility | None | $1,000.00 | $1,202.26 | $1,584.89 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $120.23 Typical High $204.17 | Professional | None (both parts) | $97.72 | $120.23 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $37.15 Typical High $64.57 | Professional | 26 · Professional part | $30.20 | $37.15 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $83.18 Typical High $147.91 | Professional | TC · Technical part | $64.57 | $83.18 | $147.91 |
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 $47.86 Median $47.86 Typical High $51.29 | Professional | 52 · Reduced service | $47.86 | $47.86 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $20.42 | Professional | 53 · Discontinued | $19.05 | $19.05 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $75.86 Typical High $83.18 | Professional | FX · Film X-ray | $75.86 | $75.86 | $83.18 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $75.86 Median $81.28 Typical High $102.33 | Professional | 51 · Multiple procedures | $75.86 | $81.28 | $102.33 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $30.20 Median $32.36 Typical High $40.74 | Professional | 80 · Assistant surgeon | $30.20 | $32.36 | $40.74 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $21.38 Median $22.39 Typical High $28.84 | Professional | 81 · Minimal assistant surgeon | $21.38 | $22.39 | $28.84 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $21.38 Median $22.39 Typical High $28.84 | Professional | 82 · Assistant surgeon, no resident | $21.38 | $22.39 | $28.84 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $21.38 Median $22.39 Typical High $28.84 | Professional | AS · PA/NP assist | $21.38 | $22.39 | $28.84 |
Where South Carolina sits
The same service costs 3.9 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· 36th of 51
$123
AK $347TX $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.