How much rates vary
Facilitymedian $3,890 · 10th to 90th $1,148 to $6,310Professionalmedian $479 · 10th to 90th $251 to $1,288
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 $389.05 Median $489.78 Typical High $1,288.25 | Facility | None | $389.05 | $489.78 | $1,288.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $426.58 Typical High $870.96 | Professional | None (both parts) | $389.05 | $426.58 | $870.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $194.98 Typical High $309.03 | Professional | 26 · Professional part | $190.55 | $194.98 | $309.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $208.93 Typical High $467.74 | Professional | TC · Technical part | $204.17 | $208.93 | $467.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $524.81 | Professional | None (both parts) | $389.05 | $389.05 | $524.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $239.88 Typical High $398.11 | Professional | 26 · Professional part | $229.09 | $239.88 | $398.11 |
BCBS South Carolina Setting Facility Modifier None Typical Low $2,041.74 Median $4,265.80 Typical High $6,165.95 | Facility | None | $2,041.74 | $4,265.80 | $6,165.95 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | TC · Technical part | $2,570.40 | $2,570.40 | $2,570.40 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $457.09 Median $1,288.25 Typical High $1,949.84 | Professional | None (both parts) | $457.09 | $1,288.25 | $1,949.84 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $257.04 Typical High $389.05 | Professional | 26 · Professional part | $218.78 | $257.04 | $389.05 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $1,023.29 Typical High $1,445.44 | Professional | TC · Technical part | $239.88 | $1,023.29 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $3,981.07 Typical High $7,413.10 | Facility | None | $1,584.89 | $3,981.07 | $7,413.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $851.14 Typical High $1,659.59 | Professional | None (both parts) | $537.03 | $851.14 | $1,659.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $295.12 Typical High $457.09 | Professional | 26 · Professional part | $218.78 | $295.12 | $457.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $630.96 Typical High $1,318.26 | Professional | TC · Technical part | $281.84 | $630.96 | $1,318.26 |
Medcost Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Medcost Setting Facility Modifier None Typical Low $389.05 Median $524.81 Typical High $3,630.78 | Facility | None | $389.05 | $524.81 | $3,630.78 |
Medcost Setting Professional Modifier None (both parts) Typical Low $630.96 Median $1,174.90 Typical High $2,089.30 | Professional | None (both parts) | $630.96 | $1,174.90 | $2,089.30 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $380.19 Typical High $588.84 | Professional | 26 · Professional part | $323.59 | $380.19 | $588.84 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $575.44 Typical High $1,318.26 | Professional | TC · Technical part | $346.74 | $575.44 | $1,318.26 |
Molina Setting Professional Modifier None (both parts) Typical Low $239.88 Median $398.11 Typical High $794.33 | Professional | None (both parts) | $239.88 | $398.11 | $794.33 |
United Setting Facility Modifier None Typical Low $5,754.40 Median $7,079.46 Typical High $9,120.11 | Facility | None | $5,754.40 | $7,079.46 | $9,120.11 |
United Setting Professional Modifier None (both parts) Typical Low $467.74 Median $676.08 Typical High $1,348.96 | Professional | None (both parts) | $467.74 | $676.08 | $1,348.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $269.15 Typical High $426.58 | Professional | 26 · Professional part | $208.93 | $269.15 | $426.58 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $380.19 Typical High $831.76 | Professional | TC · Technical part | $239.88 | $380.19 | $831.76 |
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 $194.98 Median $194.98 Typical High $229.09 | Professional | 52 · Reduced service | $194.98 | $194.98 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $91.20 | Professional | 53 · Discontinued | $79.43 | $79.43 | $91.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $316.23 Median $316.23 Typical High $363.08 | Professional | FX · Film X-ray | $316.23 | $316.23 | $363.08 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $338.84 Median $575.44 Typical High $1,047.13 | Professional | 51 · Multiple procedures | $338.84 | $575.44 | $1,047.13 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $134.90 Median $234.42 Typical High $426.58 | Professional | 80 · Assistant surgeon | $134.90 | $234.42 | $426.58 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $95.50 Median $162.18 Typical High $295.12 | Professional | 81 · Minimal assistant surgeon | $95.50 | $162.18 | $295.12 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $95.50 Median $162.18 Typical High $295.12 | Professional | 82 · Assistant surgeon, no resident | $95.50 | $162.18 | $295.12 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $95.50 Median $162.18 Typical High $295.12 | Professional | AS · PA/NP assist | $95.50 | $162.18 | $295.12 |
Where South Carolina sits
The same service costs 4.9 times more in Alaska 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· 45th of 51
$501
AK $1,905FL $389
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.