How much rates vary
Facilitymedian $1,698 · 10th to 90th $324 to $2,570Professionalmedian $158 · 10th to 90th $47 to $525
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 $114.82 Median $144.54 Typical High $389.05 | Facility | None | $114.82 | $144.54 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $331.13 | Professional | None (both parts) | $114.82 | $114.82 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $144.54 | Professional | 26 · Professional part | $91.20 | $91.20 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $25.70 Typical High $102.33 | Professional | TC · Technical part | $25.70 | $25.70 | $102.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $120.23 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $120.23 | $181.97 | $181.97 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $112.20 Typical High $190.55 | Professional | 26 · Professional part | $107.15 | $112.20 | $190.55 |
BCBS South Carolina Setting Facility Modifier None Typical Low $831.76 Median $1,778.28 Typical High $2,570.40 | Facility | None | $831.76 | $1,778.28 | $2,570.40 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | TC · Technical part | $1,148.15 | $1,148.15 | $1,148.15 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $138.04 Median $524.81 Typical High $724.44 | Professional | None (both parts) | $138.04 | $524.81 | $724.44 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $102.33 Typical High $213.80 | Professional | 26 · Professional part | $60.26 | $102.33 | $213.80 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $309.03 Typical High $575.44 | Professional | TC · Technical part | $35.48 | $309.03 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $1,698.24 Typical High $3,090.30 | Facility | None | $234.42 | $1,698.24 | $3,090.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $331.13 Typical High $691.83 | Professional | None (both parts) | $165.96 | $331.13 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $134.90 Typical High $208.93 | Professional | 26 · Professional part | $100.00 | $134.90 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $151.36 Typical High $524.81 | Professional | TC · Technical part | $37.15 | $151.36 | $524.81 |
Medcost Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
Medcost Setting Facility Modifier None Typical Low $45.71 Median $169.82 Typical High $1,479.11 | Facility | None | $45.71 | $169.82 | $1,479.11 |
Medcost Setting Professional Modifier None (both parts) Typical Low $186.21 Median $407.38 Typical High $870.96 | Professional | None (both parts) | $186.21 | $407.38 | $870.96 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $173.78 Typical High $269.15 | Professional | 26 · Professional part | $151.36 | $173.78 | $269.15 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $151.36 Typical High $512.86 | Professional | TC · Technical part | $52.48 | $151.36 | $512.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $38.90 Median $131.83 Typical High $229.09 | Professional | None (both parts) | $38.90 | $131.83 | $229.09 |
United Setting Facility Modifier None Typical Low $2,344.23 Median $2,818.38 Typical High $3,715.35 | Facility | None | $2,344.23 | $2,818.38 | $3,715.35 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $208.93 Typical High $436.52 | Professional | None (both parts) | $131.83 | $208.93 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $128.82 Typical High $204.17 | Professional | 26 · Professional part | $95.50 | $128.82 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $44.67 Typical High $309.03 | Professional | TC · Technical part | $25.70 | $44.67 | $309.03 |
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 $57.54 Median $57.54 Typical High $66.07 | Professional | 52 · Reduced service | $57.54 | $57.54 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $26.30 | Professional | 53 · Discontinued | $23.44 | $23.44 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $93.33 Typical High $107.15 | Professional | FX · Film X-ray | $93.33 | $93.33 | $107.15 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $100.00 Median $204.17 Typical High $436.52 | Professional | 51 · Multiple procedures | $100.00 | $204.17 | $436.52 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $39.81 Median $81.28 Typical High $173.78 | Professional | 80 · Assistant surgeon | $39.81 | $81.28 | $173.78 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $28.18 Median $57.54 Typical High $120.23 | Professional | 81 · Minimal assistant surgeon | $28.18 | $57.54 | $120.23 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $28.18 Median $57.54 Typical High $120.23 | Professional | 82 · Assistant surgeon, no resident | $28.18 | $57.54 | $120.23 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $28.18 Median $57.54 Typical High $120.23 | Professional | AS · PA/NP assist | $28.18 | $57.54 | $120.23 |
Where South Carolina sits
The same service costs 5.1 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· 43rd of 51
$166
AK $575FL $112
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.