How much rates vary
Facilitymedian $1,023 · 10th to 90th $759 to $3,311Professionalmedian $427 · 10th to 90th $178 to $912
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 $758.58 Median $1,949.84 Typical High $3,311.31 | Facility | None | $758.58 | $1,949.84 | $3,311.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $616.60 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $616.60 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $245.47 Typical High $245.47 | Professional | 26 · Professional part | $199.53 | $245.47 | $245.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $512.86 Typical High $512.86 | Professional | TC · Technical part | $426.58 | $512.86 | $512.86 |
BCBS Setting Facility Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Facility | None | $4,786.30 | $4,786.30 | $4,786.30 |
BCBS Setting Professional Modifier None (both parts) Typical Low $588.84 Median $588.84 Typical High $724.44 | Professional | None (both parts) | $588.84 | $588.84 | $724.44 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $67.61 Typical High $186.21 | Professional | 26 · Professional part | $61.66 | $67.61 | $186.21 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $407.38 Typical High $467.74 | Professional | TC · Technical part | $407.38 | $407.38 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $630.96 Median $707.95 Typical High $1,122.02 | Professional | None (both parts) | $630.96 | $707.95 | $1,122.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $223.87 Typical High $363.08 | Professional | 26 · Professional part | $194.98 | $223.87 | $363.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $478.63 Typical High $776.25 | Professional | TC · Technical part | $436.52 | $478.63 | $776.25 |
Medcost Setting Facility Modifier None Typical Low $426.58 Median $831.76 Typical High $2,951.21 | Facility | None | $426.58 | $831.76 | $2,951.21 |
Medcost Setting Professional Modifier None (both parts) Typical Low $602.56 Median $933.25 Typical High $1,071.52 | Professional | None (both parts) | $602.56 | $933.25 | $1,071.52 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $281.84 Typical High $478.63 | Professional | 26 · Professional part | $239.88 | $281.84 | $478.63 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $707.95 Typical High $1,000.00 | Professional | TC · Technical part | $354.81 | $707.95 | $1,000.00 |
Molina Setting Professional Modifier None (both parts) Typical Low $165.96 Median $223.87 Typical High $323.59 | Professional | None (both parts) | $165.96 | $223.87 | $323.59 |
United Setting Professional Modifier None (both parts) Typical Low $478.63 Median $707.95 Typical High $1,174.90 | Professional | None (both parts) | $478.63 | $707.95 | $1,174.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $229.09 Typical High $380.19 | Professional | 26 · Professional part | $186.21 | $229.09 | $380.19 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $457.09 Typical High $812.83 | Professional | TC · Technical part | $263.03 | $457.09 | $812.83 |
6 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 FX · Film X-ray Typical Low $501.19 Median $602.56 Typical High $602.56 | Professional | FX · Film X-ray | $501.19 | $602.56 | $602.56 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $302.00 Median $478.63 Typical High $616.60 | Professional | 51 · Multiple procedures | $302.00 | $478.63 | $616.60 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $120.23 Median $186.21 Typical High $223.87 | Professional | 80 · Assistant surgeon | $120.23 | $186.21 | $223.87 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $85.11 Median $131.83 Typical High $158.49 | Professional | 81 · Minimal assistant surgeon | $85.11 | $131.83 | $158.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $85.11 Median $131.83 Typical High $158.49 | Professional | 82 · Assistant surgeon, no resident | $85.11 | $131.83 | $158.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $85.11 Median $131.83 Typical High $158.49 | Professional | AS · PA/NP assist | $85.11 | $131.83 | $158.49 |
Where South Carolina sits
The same service costs 6.5 times more in Alaska 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· 47th of 51
$479
AK $2,570NJ $398
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.