How much rates vary
Facilitymedian $759 · 10th to 90th $355 to $1,259Professionalmedian $141 · 10th to 90th $66 to $257
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 $112.20 Median $141.25 Typical High $363.08 | Facility | None | $112.20 | $141.25 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $112.20 Typical High $169.82 | Professional | None (both parts) | $61.66 | $112.20 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $52.48 | Professional | 26 · Professional part | $33.11 | $33.11 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $79.43 Typical High $125.89 | Professional | TC · Technical part | $19.95 | $79.43 | $125.89 |
BCBS South Carolina Setting Facility Modifier None Typical Low $416.87 Median $954.99 Typical High $1,348.96 | Facility | None | $416.87 | $954.99 | $1,348.96 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | TC · Technical part | $588.84 | $588.84 | $588.84 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $100.00 Median $128.82 Typical High $288.40 | Professional | None (both parts) | $100.00 | $128.82 | $288.40 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $79.43 Typical High $114.82 | Professional | 26 · Professional part | $38.02 | $79.43 | $114.82 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $91.20 Typical High $194.98 | Professional | TC · Technical part | $60.26 | $91.20 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $416.87 Typical High $707.95 | Facility | None | $354.81 | $416.87 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $123.03 Typical High $229.09 | Professional | None (both parts) | $79.43 | $123.03 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $51.29 Typical High $81.28 | Professional | 26 · Professional part | $39.81 | $51.29 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $69.18 Typical High $162.18 | Professional | TC · Technical part | $20.42 | $69.18 | $162.18 |
Medcost Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
Medcost Setting Facility Modifier None Typical Low $57.54 Median $123.03 Typical High $758.58 | Facility | None | $57.54 | $123.03 | $758.58 |
Medcost Setting Professional Modifier None (both parts) Typical Low $89.13 Median $181.97 Typical High $194.98 | Professional | None (both parts) | $89.13 | $181.97 | $194.98 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $70.79 Typical High $83.18 | Professional | 26 · Professional part | $47.86 | $70.79 | $83.18 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $87.10 Typical High $158.49 | Professional | TC · Technical part | $16.60 | $87.10 | $158.49 |
Molina Setting Professional Modifier None (both parts) Typical Low $56.23 Median $151.36 Typical High $234.42 | Professional | None (both parts) | $56.23 | $151.36 | $234.42 |
United Setting Facility Modifier None Typical Low $562.34 Median $691.83 Typical High $891.25 | Facility | None | $562.34 | $691.83 | $891.25 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $128.82 Typical High $208.93 | Professional | None (both parts) | $60.26 | $128.82 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $47.86 Typical High $77.62 | Professional | 26 · Professional part | $38.02 | $47.86 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $83.18 Typical High $141.25 | Professional | TC · Technical part | $21.88 | $83.18 | $141.25 |
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 $56.23 Median $56.23 Typical High $67.61 | Professional | 52 · Reduced service | $56.23 | $56.23 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $26.92 | Professional | 53 · Discontinued | $22.39 | $22.39 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $89.13 Typical High $107.15 | Professional | FX · Film X-ray | $89.13 | $89.13 | $107.15 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $43.65 Median $91.20 Typical High $102.33 | Professional | 51 · Multiple procedures | $43.65 | $91.20 | $102.33 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $17.78 Median $36.31 Typical High $41.69 | Professional | 80 · Assistant surgeon | $17.78 | $36.31 | $41.69 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.30 Median $25.70 Typical High $28.84 | Professional | 81 · Minimal assistant surgeon | $12.30 | $25.70 | $28.84 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.30 Median $25.70 Typical High $28.84 | Professional | 82 · Assistant surgeon, no resident | $12.30 | $25.70 | $28.84 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $12.30 Median $25.70 Typical High $28.84 | Professional | AS · PA/NP assist | $12.30 | $25.70 | $28.84 |
Where South Carolina sits
The same service costs 6.9 times more in Alaska than in Michigan. 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· 25th of 51
$151
AK $525MI $75.86
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.