How much rates vary
Facilitymedian $117 · 10th to 90th $98 to $447Professionalmedian $126 · 10th to 90th $79 to $174
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $104.71 | Professional | None (both parts) | $97.72 | $97.72 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $57.54 | Professional | 26 · Professional part | $53.70 | $53.70 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $47.86 | Professional | TC · Technical part | $42.66 | $42.66 | $47.86 |
BCBS South Carolina Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $125.89 Median $134.90 Typical High $165.96 | Professional | None (both parts) | $125.89 | $134.90 | $165.96 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $75.86 Typical High $93.33 | Professional | 26 · Professional part | $63.10 | $75.86 | $93.33 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $64.57 Typical High $64.57 | Professional | TC · Technical part | $58.88 | $64.57 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $123.03 Typical High $190.55 | Professional | None (both parts) | $112.20 | $123.03 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $67.61 Typical High $102.33 | Professional | 26 · Professional part | $60.26 | $67.61 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $56.23 Typical High $83.18 | Professional | TC · Technical part | $52.48 | $56.23 | $83.18 |
Medcost Setting Professional Modifier None Typical Low $181.97 Median $194.98 Typical High $208.93 | Professional | None | $181.97 | $194.98 | $208.93 |
Medcost Setting Facility Modifier None Typical Low $97.72 Median $120.23 Typical High $257.04 | Facility | None | $97.72 | $120.23 | $257.04 |
Medcost Setting Professional Modifier None (both parts) Typical Low $134.90 Median $173.78 Typical High $204.17 | Professional | None (both parts) | $134.90 | $173.78 | $204.17 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $109.65 Typical High $114.82 | Professional | 26 · Professional part | $89.13 | $109.65 | $114.82 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $87.10 Typical High $93.33 | Professional | TC · Technical part | $77.62 | $87.10 | $93.33 |
Molina Setting Professional Modifier None (both parts) Typical Low $63.10 Median $81.28 Typical High $125.89 | Professional | None (both parts) | $63.10 | $81.28 | $125.89 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $134.90 Typical High $204.17 | Professional | None (both parts) | $109.65 | $134.90 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $66.07 Typical High $112.20 | Professional | 26 · Professional part | $54.95 | $66.07 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $66.07 Typical High $95.50 | Professional | TC · Technical part | $51.29 | $66.07 | $95.50 |
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 $48.98 Median $48.98 Typical High $51.29 | Professional | 52 · Reduced service | $48.98 | $48.98 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $20.89 | Professional | 53 · Discontinued | $19.50 | $19.50 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $77.62 Typical High $83.18 | Professional | FX · Film X-ray | $77.62 | $77.62 | $83.18 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $81.28 Median $87.10 Typical High $107.15 | Professional | 51 · Multiple procedures | $81.28 | $87.10 | $107.15 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $32.36 Median $34.67 Typical High $43.65 | Professional | 80 · Assistant surgeon | $32.36 | $34.67 | $43.65 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $22.91 Median $24.55 Typical High $30.20 | Professional | 81 · Minimal assistant surgeon | $22.91 | $24.55 | $30.20 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $22.91 Median $24.55 Typical High $30.20 | Professional | 82 · Assistant surgeon, no resident | $22.91 | $24.55 | $30.20 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $22.91 Median $24.55 Typical High $30.20 | Professional | AS · PA/NP assist | $22.91 | $24.55 | $30.20 |
Where South Carolina sits
The same service costs 4.5 times more in Alaska than in Florida. 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· 39th of 51
$126
AK $372FL $83.18
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.