How much rates vary
Facilitymedian $537 · 10th to 90th $234 to $1,000Professionalmedian $132 · 10th to 90th $76 to $251
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 $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $208.93 | Professional | None (both parts) | $194.98 | $194.98 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $36.31 | Professional | 26 · Professional part | $34.67 | $34.67 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $194.98 | Professional | TC · Technical part | $186.21 | $186.21 | $194.98 |
BCBS South Carolina Setting Facility Modifier None Typical Low $263.03 Median $537.03 Typical High $1,000.00 | Facility | None | $263.03 | $537.03 | $1,000.00 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | TC · Technical part | $177.83 | $177.83 | $177.83 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $104.71 Median $123.03 Typical High $229.09 | Professional | None (both parts) | $104.71 | $123.03 | $229.09 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $44.67 Typical High $58.88 | Professional | 26 · Professional part | $41.69 | $44.67 | $58.88 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $64.57 Typical High $190.55 | Professional | TC · Technical part | $58.88 | $64.57 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $645.65 Typical High $1,288.25 | Facility | None | $346.74 | $645.65 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $100.00 Typical High $151.36 | Professional | None (both parts) | $93.33 | $100.00 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $42.66 Typical High $64.57 | Professional | 26 · Professional part | $38.02 | $42.66 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $58.88 Typical High $87.10 | Professional | TC · Technical part | $54.95 | $58.88 | $87.10 |
Medcost Setting Professional Modifier None Typical Low $144.54 Median $154.88 Typical High $165.96 | Professional | None | $144.54 | $154.88 | $165.96 |
Medcost Setting Facility Modifier None Typical Low $93.33 Median $213.80 Typical High $263.03 | Facility | None | $93.33 | $213.80 | $263.03 |
Medcost Setting Professional Modifier None (both parts) Typical Low $158.49 Median $218.78 Typical High $269.15 | Professional | None (both parts) | $158.49 | $218.78 | $269.15 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $60.26 | $69.18 | $69.18 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $204.17 Typical High $371.54 | Professional | TC · Technical part | $93.33 | $204.17 | $371.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $41.69 Typical High $66.07 | Professional | None (both parts) | $33.11 | $41.69 | $66.07 |
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 $89.13 Median $223.87 Typical High $316.23 | Professional | None (both parts) | $89.13 | $223.87 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $41.69 Typical High $67.61 | Professional | 26 · Professional part | $34.67 | $41.69 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $190.55 Typical High $263.03 | Professional | TC · Technical part | $53.70 | $190.55 | $263.03 |
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 $97.72 Median $97.72 Typical High $104.71 | Professional | 52 · Reduced service | $97.72 | $97.72 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $41.69 | Professional | 53 · Discontinued | $38.90 | $38.90 | $41.69 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $154.88 Typical High $165.96 | Professional | FX · Film X-ray | $154.88 | $154.88 | $165.96 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $79.43 Median $109.65 Typical High $169.82 | Professional | 51 · Multiple procedures | $79.43 | $109.65 | $169.82 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $31.62 Median $44.67 Typical High $67.61 | Professional | 80 · Assistant surgeon | $31.62 | $44.67 | $67.61 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $21.88 Median $30.90 Typical High $46.77 | Professional | 81 · Minimal assistant surgeon | $21.88 | $30.90 | $46.77 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $21.88 Median $30.90 Typical High $46.77 | Professional | 82 · Assistant surgeon, no resident | $21.88 | $30.90 | $46.77 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $21.88 Median $30.90 Typical High $46.77 | Professional | AS · PA/NP assist | $21.88 | $30.90 | $46.77 |
Where South Carolina sits
The same service costs 3.6 times more in Nebraska than in New Jersey. 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· 40th of 51
$148
NE $407NJ $112
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.