How much rates vary
Facilitymedian $1,905 · 10th to 90th $871 to $2,818Professionalmedian $1,047 · 10th to 90th $132 to $1,862
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 $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $1,047.13 | Professional | None (both parts) | $870.96 | $870.96 | $1,047.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $95.50 | Professional | 26 · Professional part | $81.28 | $81.28 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $794.33 Typical High $933.25 | Professional | TC · Technical part | $794.33 | $794.33 | $933.25 |
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 $977.24 Typical High $1,047.13 | Professional | None (both parts) | $275.42 | $977.24 | $1,047.13 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $117.49 Typical High $128.82 | Professional | 26 · Professional part | $93.33 | $117.49 | $128.82 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $891.25 Typical High $954.99 | Professional | TC · Technical part | $158.49 | $891.25 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $1,819.70 Typical High $4,570.88 | Facility | None | $1,548.82 | $1,819.70 | $4,570.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $891.25 Typical High $1,862.09 | Professional | None (both parts) | $316.23 | $891.25 | $1,862.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $123.03 Typical High $194.98 | Professional | 26 · Professional part | $97.72 | $123.03 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $794.33 Typical High $1,659.59 | Professional | TC · Technical part | $186.21 | $794.33 | $1,659.59 |
Medcost Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
Medcost Setting Facility Modifier None Typical Low $239.88 Median $954.99 Typical High $2,818.38 | Facility | None | $239.88 | $954.99 | $2,818.38 |
Medcost Setting Professional Modifier None (both parts) Typical Low $407.38 Median $977.24 Typical High $1,412.54 | Professional | None (both parts) | $407.38 | $977.24 | $1,412.54 |
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 $549.54 Median $1,071.52 Typical High $1,698.24 | Professional | TC · Technical part | $549.54 | $1,071.52 | $1,698.24 |
Molina Setting Professional Modifier None (both parts) Typical Low $123.03 Median $1,148.15 Typical High $1,905.46 | Professional | None (both parts) | $123.03 | $1,148.15 | $1,905.46 |
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 $758.58 Median $1,148.15 Typical High $1,905.46 | Professional | None (both parts) | $758.58 | $1,148.15 | $1,905.46 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $117.49 Typical High $190.55 | Professional | 26 · Professional part | $95.50 | $117.49 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $1,023.29 Typical High $1,698.24 | Professional | TC · Technical part | $660.69 | $1,023.29 | $1,698.24 |
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 $436.52 Median $436.52 Typical High $512.86 | Professional | 52 · Reduced service | $436.52 | $436.52 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $208.93 | Professional | 53 · Discontinued | $173.78 | $173.78 | $208.93 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $691.83 Median $691.83 Typical High $831.76 | Professional | FX · Film X-ray | $691.83 | $691.83 | $831.76 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $204.17 Median $489.78 Typical High $933.25 | Professional | 51 · Multiple procedures | $204.17 | $489.78 | $933.25 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $83.18 Median $93.33 Typical High $371.54 | Professional | 80 · Assistant surgeon | $83.18 | $93.33 | $371.54 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $57.54 Median $66.07 Typical High $263.03 | Professional | 81 · Minimal assistant surgeon | $57.54 | $66.07 | $263.03 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $57.54 Median $66.07 Typical High $263.03 | Professional | 82 · Assistant surgeon, no resident | $57.54 | $66.07 | $263.03 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $57.54 Median $66.07 Typical High $263.03 | Professional | AS · PA/NP assist | $57.54 | $66.07 | $263.03 |
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· 39th of 51
$1,072
AK $4,365IN $794
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.