How much rates vary
Facilitymedian $1,175 · 10th to 90th $490 to $1,862Professionalmedian $457 · 10th to 90th $138 to $794
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 $363.08 Median $457.09 Typical High $660.69 | Facility | None | $363.08 | $457.09 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $380.19 Typical High $616.60 | Professional | None (both parts) | $363.08 | $380.19 | $616.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $109.65 | Professional | 26 · Professional part | $69.18 | $69.18 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $323.59 Typical High $512.86 | Professional | TC · Technical part | $295.12 | $323.59 | $512.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $478.63 | Professional | None (both parts) | $346.74 | $346.74 | $478.63 |
BCBS South Carolina Setting Facility Modifier None Typical Low $575.44 Median $1,258.93 Typical High $1,819.70 | Facility | None | $575.44 | $1,258.93 | $1,819.70 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | TC · Technical part | $794.33 | $794.33 | $794.33 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $323.59 Median $407.38 Typical High $575.44 | Professional | None (both parts) | $323.59 | $407.38 | $575.44 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $134.90 Typical High $208.93 | Professional | 26 · Professional part | $79.43 | $134.90 | $208.93 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $275.42 Typical High $354.81 | Professional | TC · Technical part | $186.21 | $275.42 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $1,148.15 Typical High $1,995.26 | Facility | None | $977.24 | $1,148.15 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $512.86 Typical High $912.01 | Professional | None (both parts) | $398.11 | $512.86 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $100.00 Typical High $158.49 | Professional | 26 · Professional part | $74.13 | $100.00 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $416.87 Typical High $776.25 | Professional | TC · Technical part | $295.12 | $416.87 | $776.25 |
Medcost Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None | $1,000.00 | $1,000.00 | $1,000.00 |
Medcost Setting Facility Modifier None Typical Low $275.42 Median $489.78 Typical High $1,000.00 | Facility | None | $275.42 | $489.78 | $1,000.00 |
Medcost Setting Professional Modifier None (both parts) Typical Low $512.86 Median $537.03 Typical High $676.08 | Professional | None (both parts) | $512.86 | $537.03 | $676.08 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $128.82 Typical High $204.17 | Professional | 26 · Professional part | $112.20 | $128.82 | $204.17 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $478.63 Typical High $630.96 | Professional | TC · Technical part | $478.63 | $478.63 | $630.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $120.23 Median $467.74 Typical High $794.33 | Professional | None (both parts) | $120.23 | $467.74 | $794.33 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,905.46 Typical High $2,511.89 | Facility | None | $1,584.89 | $1,905.46 | $2,511.89 |
United Setting Professional Modifier None (both parts) Typical Low $426.58 Median $562.34 Typical High $851.14 | Professional | None (both parts) | $426.58 | $562.34 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $97.72 Typical High $158.49 | Professional | 26 · Professional part | $72.44 | $97.72 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $457.09 Typical High $707.95 | Professional | TC · Technical part | $354.81 | $457.09 | $707.95 |
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 $181.97 Median $181.97 Typical High $218.78 | Professional | 52 · Reduced service | $181.97 | $181.97 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $87.10 | Professional | 53 · Discontinued | $72.44 | $72.44 | $87.10 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $295.12 Typical High $354.81 | Professional | FX · Film X-ray | $295.12 | $295.12 | $354.81 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $257.04 Median $269.15 Typical High $389.05 | Professional | 51 · Multiple procedures | $257.04 | $269.15 | $389.05 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $102.33 Median $107.15 Typical High $154.88 | Professional | 80 · Assistant surgeon | $102.33 | $107.15 | $154.88 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $70.79 Median $75.86 Typical High $109.65 | Professional | 81 · Minimal assistant surgeon | $70.79 | $75.86 | $109.65 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $70.79 Median $75.86 Typical High $109.65 | Professional | 82 · Assistant surgeon, no resident | $70.79 | $75.86 | $109.65 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $70.79 Median $75.86 Typical High $109.65 | Professional | AS · PA/NP assist | $70.79 | $75.86 | $109.65 |
Where South Carolina sits
The same service costs 4.6 times more in Alaska than in Texas. 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· 44th of 51
$468
AK $1,698TX $372
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.