How much rates vary
Facilitymedian $1,905 · 10th to 90th $832 to $2,818Professionalmedian $661 · 10th to 90th $89 to $1,175
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 $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Aetna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $660.69 | Professional | None (both parts) | $562.34 | $562.34 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $67.61 | Professional | 26 · Professional part | $57.54 | $57.54 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $501.19 Typical High $602.56 | Professional | TC · Technical part | $501.19 | $501.19 | $602.56 |
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 $616.60 Typical High $660.69 | Professional | None (both parts) | $204.17 | $616.60 | $660.69 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $87.10 Typical High $91.20 | Professional | 26 · Professional part | $66.07 | $87.10 | $91.20 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $549.54 Typical High $602.56 | Professional | TC · Technical part | $120.23 | $549.54 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $1,819.70 Typical High $3,090.30 | Facility | None | $1,548.82 | $1,819.70 | $3,090.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $616.60 Typical High $1,348.96 | Professional | None (both parts) | $239.88 | $616.60 | $1,348.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $93.33 Typical High $144.54 | Professional | 26 · Professional part | $70.79 | $93.33 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $537.03 Typical High $1,202.26 | Professional | TC · Technical part | $141.25 | $537.03 | $1,202.26 |
Medcost Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $1,949.84 |
Medcost Setting Facility Modifier None Typical Low $181.97 Median $616.60 Typical High $1,819.70 | Facility | None | $181.97 | $616.60 | $1,819.70 |
Medcost Setting Professional Modifier None (both parts) Typical Low $309.03 Median $630.96 Typical High $891.25 | Professional | None (both parts) | $309.03 | $630.96 | $891.25 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $123.03 Typical High $141.25 | Professional | 26 · Professional part | $91.20 | $123.03 | $141.25 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $676.08 Typical High $1,071.52 | Professional | TC · Technical part | $371.54 | $676.08 | $1,071.52 |
Molina Setting Professional Modifier None (both parts) Typical Low $79.43 Median $707.95 Typical High $1,174.90 | Professional | None (both parts) | $79.43 | $707.95 | $1,174.90 |
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 $537.03 Median $776.25 Typical High $1,258.93 | Professional | None (both parts) | $537.03 | $776.25 | $1,258.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $83.18 Typical High $138.04 | Professional | 26 · Professional part | $67.61 | $83.18 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $691.83 Typical High $1,122.02 | Professional | TC · Technical part | $467.74 | $691.83 | $1,122.02 |
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 $275.42 Median $275.42 Typical High $331.13 | Professional | 52 · Reduced service | $275.42 | $275.42 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $131.83 | Professional | 53 · Discontinued | $112.20 | $112.20 | $131.83 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $446.68 Median $446.68 Typical High $537.03 | Professional | FX · Film X-ray | $446.68 | $446.68 | $537.03 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $154.88 Median $316.23 Typical High $588.84 | Professional | 51 · Multiple procedures | $154.88 | $316.23 | $588.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $61.66 Median $69.18 Typical High $239.88 | Professional | 80 · Assistant surgeon | $61.66 | $69.18 | $239.88 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $43.65 Median $48.98 Typical High $165.96 | Professional | 81 · Minimal assistant surgeon | $43.65 | $48.98 | $165.96 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $43.65 Median $48.98 Typical High $165.96 | Professional | 82 · Assistant surgeon, no resident | $43.65 | $48.98 | $165.96 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $43.65 Median $48.98 Typical High $165.96 | Professional | AS · PA/NP assist | $43.65 | $48.98 | $165.96 |
Where South Carolina sits
The same service costs 5.1 times more in Alaska than in Texas. 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
$692
AK $2,754TX $537
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.