How much rates vary
Facilitymedian $155 · 10th to 90th $29 to $309Professionalmedian $17 · 10th to 90th $6 to $54
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 $5.62 Median $5.62 Typical High $5.62 | Facility | None | $5.62 | $5.62 | $5.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $5.62 Median $5.62 Typical High $6.61 | Professional | None (both parts) | $5.62 | $5.62 | $6.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2.24 Median $2.24 Typical High $2.40 | Professional | 26 · Professional part | $2.24 | $2.24 | $2.40 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.47 Median $3.47 Typical High $3.98 | Professional | TC · Technical part | $3.47 | $3.47 | $3.98 |
BCBS South Carolina Setting Facility Modifier None Typical Low $87.10 Median $154.88 Typical High $275.42 | Facility | None | $87.10 | $154.88 | $275.42 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | TC · Technical part | $60.26 | $60.26 | $60.26 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $7.24 Median $48.98 Typical High $58.88 | Professional | None (both parts) | $7.24 | $48.98 | $58.88 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $2.57 Median $3.16 Typical High $3.55 | Professional | 26 · Professional part | $2.57 | $3.16 | $3.55 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $4.57 Median $18.62 Typical High $51.29 | Professional | TC · Technical part | $4.57 | $18.62 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $281.84 Typical High $562.34 | Facility | None | $28.18 | $281.84 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $7.24 Median $19.05 Typical High $41.69 | Professional | None (both parts) | $7.24 | $19.05 | $41.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $2.34 Median $3.02 Typical High $5.50 | Professional | 26 · Professional part | $2.34 | $3.02 | $5.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $4.37 Median $16.60 Typical High $37.15 | Professional | TC · Technical part | $4.37 | $16.60 | $37.15 |
Medcost Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
Medcost Setting Facility Modifier None Typical Low $5.62 Median $7.59 Typical High $31.62 | Facility | None | $5.62 | $7.59 | $31.62 |
Medcost Setting Professional Modifier None (both parts) Typical Low $7.76 Median $19.95 Typical High $53.70 | Professional | None (both parts) | $7.76 | $19.95 | $53.70 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $3.89 Median $5.01 Typical High $6.31 | Professional | 26 · Professional part | $3.89 | $5.01 | $6.31 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $6.92 Median $11.48 Typical High $38.02 | Professional | TC · Technical part | $6.92 | $11.48 | $38.02 |
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 $6.46 Median $11.22 Typical High $39.81 | Professional | None (both parts) | $6.46 | $11.22 | $39.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.51 Median $3.16 Typical High $5.50 | Professional | 26 · Professional part | $2.51 | $3.16 | $5.50 |
United Setting Professional Modifier TC · Technical part Typical Low $3.80 Median $6.92 Typical High $35.48 | Professional | TC · Technical part | $3.80 | $6.92 | $35.48 |
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 $2.82 Median $2.82 Typical High $3.31 | Professional | 52 · Reduced service | $2.82 | $2.82 | $3.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.12 Typical High $1.32 | Professional | 53 · Discontinued | $1.12 | $1.12 | $1.32 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $4.57 Median $4.57 Typical High $4.90 | Professional | FX · Film X-ray | $4.57 | $4.57 | $4.90 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $4.90 Median $10.00 Typical High $26.92 | Professional | 51 · Multiple procedures | $4.90 | $10.00 | $26.92 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $1.95 Median $3.98 Typical High $10.72 | Professional | 80 · Assistant surgeon | $1.95 | $3.98 | $10.72 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $1.38 Median $2.75 Typical High $7.59 | Professional | 81 · Minimal assistant surgeon | $1.38 | $2.75 | $7.59 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $1.38 Median $2.75 Typical High $7.59 | Professional | 82 · Assistant surgeon, no resident | $1.38 | $2.75 | $7.59 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $1.38 Median $2.75 Typical High $7.59 | Professional | AS · PA/NP assist | $1.38 | $2.75 | $7.59 |
Where South Carolina sits
The same service costs 4.2 times more in Kansas 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· 3rd of 51
$19.95
KS $23.99FL $5.75
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.