How much rates vary
Facilitymedian $380 · 10th to 90th $178 to $661Professionalmedian $135 · 10th to 90th $93 to $229
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 $112.20 Median $112.20 Typical High $181.97 | Facility | None | $112.20 | $112.20 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $169.82 | Professional | None (both parts) | $112.20 | $112.20 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $47.86 | Professional | 26 · Professional part | $26.92 | $26.92 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $125.89 | Professional | TC · Technical part | $85.11 | $85.11 | $125.89 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $123.03 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $123.03 | $208.93 | $208.93 |
BCBS South Carolina Setting Facility Modifier None Typical Low $213.80 Median $407.38 Typical High $630.96 | Facility | None | $213.80 | $407.38 | $630.96 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | TC · Technical part | $229.09 | $229.09 | $229.09 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $112.20 Median $123.03 Typical High $208.93 | Professional | None (both parts) | $112.20 | $123.03 | $208.93 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $67.61 Typical High $85.11 | Professional | 26 · Professional part | $30.90 | $67.61 | $85.11 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $81.28 Typical High $134.90 | Professional | TC · Technical part | $47.86 | $81.28 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $489.78 Typical High $1,023.29 | Facility | None | $281.84 | $489.78 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $125.89 Typical High $295.12 | Professional | None (both parts) | $114.82 | $125.89 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $36.31 Typical High $60.26 | Professional | 26 · Professional part | $32.36 | $36.31 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $89.13 Typical High $239.88 | Professional | TC · Technical part | $70.79 | $89.13 | $239.88 |
Medcost Setting Facility Modifier None Typical Low $81.28 Median $123.03 Typical High $309.03 | Facility | None | $81.28 | $123.03 | $309.03 |
Medcost Setting Professional Modifier None (both parts) Typical Low $154.88 Median $165.96 Typical High $257.04 | Professional | None (both parts) | $154.88 | $165.96 | $257.04 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $57.54 Typical High $81.28 | Professional | 26 · Professional part | $50.12 | $57.54 | $81.28 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $134.90 Typical High $169.82 | Professional | TC · Technical part | $123.03 | $134.90 | $169.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $51.29 Median $138.04 Typical High $223.87 | Professional | None (both parts) | $51.29 | $138.04 | $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 $109.65 Median $151.36 Typical High $269.15 | Professional | None (both parts) | $109.65 | $151.36 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $36.31 Typical High $61.66 | Professional | 26 · Professional part | $28.84 | $36.31 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $114.82 Typical High $213.80 | Professional | TC · Technical part | $75.86 | $114.82 | $213.80 |
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 $56.23 Median $56.23 Typical High $60.26 | Professional | 52 · Reduced service | $56.23 | $56.23 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $24.55 | Professional | 53 · Discontinued | $22.39 | $22.39 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $89.13 Typical High $95.50 | Professional | FX · Film X-ray | $89.13 | $89.13 | $95.50 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $83.18 Median $91.20 Typical High $128.82 | Professional | 51 · Multiple procedures | $83.18 | $91.20 | $128.82 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $33.11 Median $36.31 Typical High $51.29 | Professional | 80 · Assistant surgeon | $33.11 | $36.31 | $51.29 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $23.44 Median $25.70 Typical High $35.48 | Professional | 81 · Minimal assistant surgeon | $23.44 | $25.70 | $35.48 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $23.44 Median $25.70 Typical High $35.48 | Professional | 82 · Assistant surgeon, no resident | $23.44 | $25.70 | $35.48 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $23.44 Median $25.70 Typical High $35.48 | Professional | AS · PA/NP assist | $23.44 | $25.70 | $35.48 |
Where South Carolina sits
The same service costs 4.9 times more in Wyoming 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· 43rd of 51
$138
WY $501UT $102
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.