How much rates vary
Facilitymedian $251 · 10th to 90th $117 to $427Professionalmedian $95 · 10th to 90th $66 to $158
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 $83.18 Typical High $125.89 | Facility | None | $83.18 | $83.18 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $104.71 | Professional | None (both parts) | $83.18 | $83.18 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $30.90 | Professional | 26 · Professional part | $25.12 | $25.12 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $74.13 | Professional | TC · Technical part | $57.54 | $57.54 | $74.13 |
BCBS South Carolina Setting Facility Modifier None Typical Low $131.83 Median $234.42 Typical High $407.38 | Facility | None | $131.83 | $234.42 | $407.38 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | TC · Technical part | $93.33 | $93.33 | $93.33 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $120.23 | Professional | None (both parts) | $91.20 | $91.20 | $120.23 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.11 Typical High $41.69 | Professional | 26 · Professional part | $28.18 | $33.11 | $41.69 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $61.66 Typical High $81.28 | Professional | TC · Technical part | $56.23 | $61.66 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $323.59 Typical High $478.63 | Facility | None | $234.42 | $323.59 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $104.71 Typical High $181.97 | Professional | None (both parts) | $89.13 | $104.71 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $32.36 Typical High $54.95 | Professional | 26 · Professional part | $28.84 | $32.36 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $70.79 Typical High $128.82 | Professional | TC · Technical part | $60.26 | $70.79 | $128.82 |
Medcost Setting Facility Modifier None Typical Low $79.43 Median $112.20 Typical High $269.15 | Facility | None | $79.43 | $112.20 | $269.15 |
Medcost Setting Professional Modifier None (both parts) Typical Low $114.82 Median $128.82 Typical High $141.25 | Professional | None (both parts) | $114.82 | $128.82 | $141.25 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $51.29 Typical High $60.26 | Professional | 26 · Professional part | $43.65 | $51.29 | $60.26 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $89.13 Typical High $123.03 | Professional | TC · Technical part | $79.43 | $89.13 | $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 $363.08 Median $446.68 Typical High $575.44 | Facility | None | $363.08 | $446.68 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $107.15 Typical High $181.97 | Professional | None (both parts) | $85.11 | $107.15 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $31.62 Typical High $56.23 | Professional | 26 · Professional part | $25.70 | $31.62 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $72.44 Typical High $125.89 | Professional | TC · Technical part | $57.54 | $72.44 | $125.89 |
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 $60.26 Median $69.18 Typical High $83.18 | Professional | 51 · Multiple procedures | $60.26 | $69.18 | $83.18 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $23.99 Median $27.54 Typical High $33.11 | Professional | 80 · Assistant surgeon | $23.99 | $27.54 | $33.11 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.60 Median $19.05 Typical High $23.44 | Professional | 81 · Minimal assistant surgeon | $16.60 | $19.05 | $23.44 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.60 Median $19.05 Typical High $23.44 | Professional | 82 · Assistant surgeon, no resident | $16.60 | $19.05 | $23.44 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $16.60 Median $19.05 Typical High $23.44 | Professional | AS · PA/NP assist | $16.60 | $19.05 | $23.44 |
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· 43rd of 51
$95.50
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.