How much rates vary
Facilitymedian $1,995 · 10th to 90th $832 to $3,236Professionalmedian $977 · 10th to 90th $132 to $1,778
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 $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $954.99 | Professional | None (both parts) | $776.25 | $776.25 | $954.99 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $100.00 | Professional | 26 · Professional part | $83.18 | $83.18 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $691.83 Typical High $851.14 | Professional | TC · Technical part | $691.83 | $691.83 | $851.14 |
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 $275.42 Median $912.01 Typical High $1,000.00 | Professional | None (both parts) | $275.42 | $912.01 | $1,000.00 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $117.49 Typical High $138.04 | Professional | 26 · Professional part | $100.00 | $117.49 | $138.04 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $794.33 Typical High $912.01 | Professional | TC · Technical part | $158.49 | $794.33 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $2,137.96 Typical High $3,981.07 | Facility | None | $1,862.09 | $2,137.96 | $3,981.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $724.44 Typical High $1,862.09 | Professional | None (both parts) | $316.23 | $724.44 | $1,862.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $128.82 Typical High $199.53 | Professional | 26 · Professional part | $97.72 | $128.82 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $602.56 Typical High $1,659.59 | Professional | TC · Technical part | $186.21 | $602.56 | $1,659.59 |
Medcost Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,137.96 | $2,137.96 | $2,137.96 |
Medcost Setting Facility Modifier None Typical Low $245.47 Median $851.14 Typical High $2,511.89 | Facility | None | $245.47 | $851.14 | $2,511.89 |
Medcost Setting Professional Modifier None (both parts) Typical Low $416.87 Median $707.95 Typical High $1,071.52 | Professional | None (both parts) | $416.87 | $707.95 | $1,071.52 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $173.78 Typical High $186.21 | Professional | 26 · Professional part | $120.23 | $173.78 | $186.21 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $758.58 Typical High $1,380.38 | Professional | TC · Technical part | $416.87 | $758.58 | $1,380.38 |
Molina Setting Professional Modifier None (both parts) Typical Low $123.03 Median $1,122.02 Typical High $1,862.09 | Professional | None (both parts) | $123.03 | $1,122.02 | $1,862.09 |
United Setting Facility Modifier None Typical Low $2,951.21 Median $3,548.13 Typical High $4,677.35 | Facility | None | $2,951.21 | $3,548.13 | $4,677.35 |
United Setting Professional Modifier None (both parts) Typical Low $575.44 Median $891.25 Typical High $1,479.11 | Professional | None (both parts) | $575.44 | $891.25 | $1,479.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $120.23 Typical High $190.55 | Professional | 26 · Professional part | $93.33 | $120.23 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $794.33 Typical High $1,288.25 | Professional | TC · Technical part | $478.63 | $794.33 | $1,288.25 |
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 $389.05 Median $389.05 Typical High $478.63 | Professional | 52 · Reduced service | $389.05 | $389.05 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $190.55 | Professional | 53 · Discontinued | $154.88 | $154.88 | $190.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $616.60 Median $616.60 Typical High $758.58 | Professional | FX · Film X-ray | $616.60 | $616.60 | $758.58 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $204.17 Median $354.81 Typical High $676.08 | Professional | 51 · Multiple procedures | $204.17 | $354.81 | $676.08 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $83.18 Median $93.33 Typical High $269.15 | Professional | 80 · Assistant surgeon | $83.18 | $93.33 | $269.15 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $57.54 Median $66.07 Typical High $190.55 | Professional | 81 · Minimal assistant surgeon | $57.54 | $66.07 | $190.55 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $57.54 Median $66.07 Typical High $190.55 | Professional | 82 · Assistant surgeon, no resident | $57.54 | $66.07 | $190.55 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $57.54 Median $66.07 Typical High $190.55 | Professional | AS · PA/NP assist | $57.54 | $66.07 | $190.55 |
Where South Carolina sits
The same service costs 5.5 times more in Alaska than in Indiana. 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· 27th of 51
$1,023
AK $3,802IN $692
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.