How much rates vary
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 Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
BCBS Setting Facility Modifier None Typical Low $2,041.74 Median $3,235.94 Typical High $6,025.60 | Facility | None | $2,041.74 | $3,235.94 | $6,025.60 |
BCBS Setting Professional Modifier None Typical Low $812.83 Median $977.24 Typical High $1,621.81 | Professional | None | $812.83 | $977.24 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $1,819.70 Typical High $5,623.41 | Facility | None | $1,548.82 | $1,819.70 | $5,623.41 |
Medcost Setting Facility Modifier None Typical Low $446.68 Median $831.76 Typical High $954.99 | Facility | None | $446.68 | $831.76 | $954.99 |
Medcost Setting Professional Modifier None Typical Low $1,122.02 Median $1,230.27 Typical High $1,258.93 | Professional | None | $1,122.02 | $1,230.27 | $1,258.93 |
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 Typical Low $117.49 Median $912.01 Typical High $1,584.89 | Professional | None | $117.49 | $912.01 | $1,584.89 |
9 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 Facility Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | 53 · Discontinued | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $346.74 Median $346.74 Typical High $416.87 | Professional | 52 · Reduced service | $346.74 | $346.74 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $165.96 | Professional | 53 · Discontinued | $141.25 | $141.25 | $165.96 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $562.34 Median $562.34 Typical High $660.69 | Professional | FX · Film X-ray | $562.34 | $562.34 | $660.69 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $616.60 Median $616.60 Typical High $794.33 | Professional | 51 · Multiple procedures | $616.60 | $616.60 | $794.33 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $245.47 Median $245.47 Typical High $302.00 | Professional | 80 · Assistant surgeon | $245.47 | $245.47 | $302.00 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $173.78 Median $173.78 Typical High $208.93 | Professional | 81 · Minimal assistant surgeon | $173.78 | $173.78 | $208.93 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $173.78 Median $173.78 Typical High $208.93 | Professional | 82 · Assistant surgeon, no resident | $173.78 | $173.78 | $208.93 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $173.78 Median $173.78 Typical High $208.93 | Professional | AS · PA/NP assist | $173.78 | $173.78 | $208.93 |
Where South Carolina sits
The same service costs 64.6 times more in Alaska than in New York. 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· 21st of 51
$1,230
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.