How much rates vary
Facilitymedian $316 · 10th to 90th $145 to $490Professionalmedian $56 · 10th to 90th $38 to $209
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 $42.66 Median $52.48 Typical High $141.25 | Facility | None | $42.66 | $52.48 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $64.57 | Professional | None (both parts) | $42.66 | $42.66 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $16.60 | Professional | 26 · Professional part | $12.30 | $12.30 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $47.86 | Professional | TC · Technical part | $30.20 | $30.20 | $47.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None (both parts) | $63.10 | $63.10 | $63.10 |
BCBS Setting Facility Modifier None Typical Low $177.83 Median $363.08 Typical High $478.63 | Facility | None | $177.83 | $363.08 | $478.63 |
BCBS Setting Facility Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | TC · Technical part | $223.87 | $223.87 | $223.87 |
BCBS Setting Professional Modifier None (both parts) Typical Low $51.29 Median $177.83 Typical High $218.78 | Professional | None (both parts) | $51.29 | $177.83 | $218.78 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $23.99 Typical High $30.90 | Professional | 26 · Professional part | $13.80 | $23.99 | $30.90 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $154.88 Typical High $186.21 | Professional | TC · Technical part | $37.15 | $154.88 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $281.84 Typical High $562.34 | Facility | None | $186.21 | $281.84 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $58.88 Typical High $109.65 | Professional | None (both parts) | $54.95 | $58.88 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $16.98 Typical High $33.11 | Professional | 26 · Professional part | $15.49 | $16.98 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $42.66 Typical High $77.62 | Professional | TC · Technical part | $38.90 | $42.66 | $77.62 |
Medcost Setting Facility Modifier None Typical Low $42.66 Median $50.12 Typical High $141.25 | Facility | None | $42.66 | $50.12 | $141.25 |
Medcost Setting Professional Modifier None (both parts) Typical Low $58.88 Median $77.62 Typical High $102.33 | Professional | None (both parts) | $58.88 | $77.62 | $102.33 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $33.11 | Professional | 26 · Professional part | $22.39 | $22.39 | $33.11 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $87.10 | Professional | TC · Technical part | $56.23 | $56.23 | $87.10 |
Molina Setting Professional Modifier None (both parts) Typical Low $32.36 Median $43.65 Typical High $61.66 | Professional | None (both parts) | $32.36 | $43.65 | $61.66 |
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 $41.69 Median $60.26 Typical High $104.71 | Professional | None (both parts) | $41.69 | $60.26 | $104.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $16.60 Typical High $29.51 | Professional | 26 · Professional part | $11.75 | $16.60 | $29.51 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $42.66 Typical High $74.13 | Professional | TC · Technical part | $30.20 | $42.66 | $74.13 |
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 $33.88 Median $33.88 Typical High $35.48 | Professional | FX · Film X-ray | $33.88 | $33.88 | $35.48 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $36.31 Median $38.90 Typical High $77.62 | Professional | 51 · Multiple procedures | $36.31 | $38.90 | $77.62 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $14.45 Median $15.85 Typical High $31.62 | Professional | 80 · Assistant surgeon | $14.45 | $15.85 | $31.62 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.23 Median $10.96 Typical High $21.88 | Professional | 81 · Minimal assistant surgeon | $10.23 | $10.96 | $21.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.23 Median $10.96 Typical High $21.88 | Professional | 82 · Assistant surgeon, no resident | $10.23 | $10.96 | $21.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $10.23 Median $10.96 Typical High $21.88 | Professional | AS · PA/NP assist | $10.23 | $10.96 | $21.88 |
Where South Carolina sits
The same service costs 4.7 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· 35th of 51
$58.88
AK $155UT $33.11
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.