How much rates vary
Facilitymedian $1,778 · 10th to 90th $724 to $2,630Professionalmedian $513 · 10th to 90th $89 to $912
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 $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $426.58 Typical High $549.54 | Professional | None (both parts) | $407.38 | $426.58 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $81.28 | Professional | 26 · Professional part | $60.26 | $60.26 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $363.08 Typical High $457.09 | Professional | TC · Technical part | $338.84 | $363.08 | $457.09 |
BCBS South Carolina Setting Facility Modifier None Typical Low $891.25 Median $1,949.84 Typical High $2,691.53 | Facility | None | $891.25 | $1,949.84 | $2,691.53 |
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 $204.17 Median $398.11 Typical High $537.03 | Professional | None (both parts) | $204.17 | $398.11 | $537.03 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $87.10 Typical High $93.33 | Professional | 26 · Professional part | $67.61 | $87.10 | $93.33 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $416.87 Typical High $467.74 | Professional | TC · Technical part | $117.49 | $416.87 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $812.83 Typical High $2,344.23 | Facility | None | $707.95 | $812.83 | $2,344.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $398.11 Typical High $912.01 | Professional | None (both parts) | $239.88 | $398.11 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $93.33 Typical High $144.54 | Professional | 26 · Professional part | $74.13 | $93.33 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $316.23 Typical High $776.25 | Professional | TC · Technical part | $141.25 | $316.23 | $776.25 |
Medcost Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
Medcost Setting Facility Modifier None Typical Low $181.97 Median $467.74 Typical High $1,445.44 | Facility | None | $181.97 | $467.74 | $1,445.44 |
Medcost Setting Professional Modifier None (both parts) Typical Low $309.03 Median $416.87 Typical High $602.56 | Professional | None (both parts) | $309.03 | $416.87 | $602.56 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $128.82 Typical High $141.25 | Professional | 26 · Professional part | $81.28 | $128.82 | $141.25 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $407.38 Typical High $758.58 | Professional | TC · Technical part | $269.15 | $407.38 | $758.58 |
Molina Setting Professional Modifier None (both parts) Typical Low $79.43 Median $562.34 Typical High $933.25 | Professional | None (both parts) | $79.43 | $562.34 | $933.25 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,949.84 Typical High $2,570.40 | Facility | None | $1,621.81 | $1,949.84 | $2,570.40 |
United Setting Professional Modifier None (both parts) Typical Low $346.74 Median $501.19 Typical High $891.25 | Professional | None (both parts) | $346.74 | $501.19 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $85.11 Typical High $141.25 | Professional | 26 · Professional part | $70.79 | $85.11 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $416.87 Typical High $707.95 | Professional | TC · Technical part | $269.15 | $416.87 | $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 $213.80 Median $213.80 Typical High $245.47 | Professional | 52 · Reduced service | $213.80 | $213.80 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $97.72 | Professional | 53 · Discontinued | $85.11 | $85.11 | $97.72 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $338.84 Typical High $389.05 | Professional | FX · Film X-ray | $338.84 | $338.84 | $389.05 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $154.88 Median $208.93 Typical High $389.05 | Professional | 51 · Multiple procedures | $154.88 | $208.93 | $389.05 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $61.66 Median $69.18 Typical High $154.88 | Professional | 80 · Assistant surgeon | $61.66 | $69.18 | $154.88 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $43.65 Median $48.98 Typical High $107.15 | Professional | 81 · Minimal assistant surgeon | $43.65 | $48.98 | $107.15 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $43.65 Median $48.98 Typical High $107.15 | Professional | 82 · Assistant surgeon, no resident | $43.65 | $48.98 | $107.15 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $43.65 Median $48.98 Typical High $107.15 | Professional | AS · PA/NP assist | $43.65 | $48.98 | $107.15 |
Where South Carolina sits
The same service costs 6.3 times more in Alaska than in Kentucky. 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· 28th of 51
$537
AK $2,188KY $347
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.