How much rates vary
Facilitymedian $347 · 10th to 90th $126 to $631Professionalmedian $105 · 10th to 90th $66 to $195
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 $83.18 Median $107.15 Typical High $147.91 | Facility | None | $83.18 | $107.15 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $138.04 | Professional | None (both parts) | $83.18 | $83.18 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $41.69 | Professional | 26 · Professional part | $25.70 | $25.70 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $104.71 | Professional | TC · Technical part | $57.54 | $57.54 | $104.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $93.33 Typical High $169.82 | Professional | None (both parts) | $79.43 | $93.33 | $169.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $28.84 Typical High $53.70 | Professional | 26 · Professional part | $22.91 | $28.84 | $53.70 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $89.13 Typical High $89.13 | Professional | TC · Technical part | $63.10 | $89.13 | $89.13 |
BCBS South Carolina Setting Facility Modifier None Typical Low $194.98 Median $380.19 Typical High $630.96 | Facility | None | $194.98 | $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 $93.33 Median $112.20 Typical High $199.53 | Professional | None (both parts) | $93.33 | $112.20 | $199.53 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $50.12 Typical High $70.79 | Professional | 26 · Professional part | $28.84 | $50.12 | $70.79 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $64.57 Typical High $125.89 | Professional | TC · Technical part | $61.66 | $64.57 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $426.58 Typical High $575.44 | Facility | None | $281.84 | $426.58 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $102.33 Typical High $181.97 | Professional | None (both parts) | $89.13 | $102.33 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.88 Typical High $57.54 | Professional | 26 · Professional part | $29.51 | $33.88 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $72.44 Typical High $117.49 | Professional | TC · Technical part | $54.95 | $72.44 | $117.49 |
Medcost Setting Facility Modifier None Typical Low $83.18 Median $141.25 Typical High $309.03 | Facility | None | $83.18 | $141.25 | $309.03 |
Medcost Setting Professional Modifier None (both parts) Typical Low $114.82 Median $144.54 Typical High $162.18 | Professional | None (both parts) | $114.82 | $144.54 | $162.18 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $53.70 Typical High $64.57 | Professional | 26 · Professional part | $45.71 | $53.70 | $64.57 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $114.82 Typical High $123.03 | Professional | TC · Technical part | $91.20 | $114.82 | $123.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $50.12 Median $100.00 Typical High $165.96 | Professional | None (both parts) | $50.12 | $100.00 | $165.96 |
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 $85.11 Median $109.65 Typical High $186.21 | Professional | None (both parts) | $85.11 | $109.65 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.11 Typical High $57.54 | Professional | 26 · Professional part | $26.92 | $33.11 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $74.13 Typical High $128.82 | Professional | TC · Technical part | $57.54 | $74.13 | $128.82 |
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 $41.69 Median $41.69 Typical High $44.67 | Professional | 52 · Reduced service | $41.69 | $41.69 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $17.78 | Professional | 53 · Discontinued | $16.60 | $16.60 | $17.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $66.07 Typical High $70.79 | Professional | FX · Film X-ray | $66.07 | $66.07 | $70.79 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $70.79 Median $70.79 Typical High $89.13 | Professional | 51 · Multiple procedures | $70.79 | $70.79 | $89.13 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $28.18 Median $28.84 Typical High $35.48 | Professional | 80 · Assistant surgeon | $28.18 | $28.84 | $35.48 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $19.95 Median $19.95 Typical High $24.55 | Professional | 81 · Minimal assistant surgeon | $19.95 | $19.95 | $24.55 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $19.95 Median $19.95 Typical High $24.55 | Professional | 82 · Assistant surgeon, no resident | $19.95 | $19.95 | $24.55 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $19.95 Median $19.95 Typical High $24.55 | Professional | AS · PA/NP assist | $19.95 | $19.95 | $24.55 |
Where South Carolina sits
The same service costs 4.2 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
$110
AK $302UT $72.44
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.