How much rates vary
Facilitymedian $1,905 · 10th to 90th $832 to $2,754Professionalmedian $676 · 10th to 90th $132 to $1,230
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 $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $630.96 | Professional | None (both parts) | $512.86 | $512.86 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $83.18 | Professional | 26 · Professional part | $69.18 | $69.18 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $446.68 Typical High $549.54 | Professional | TC · Technical part | $446.68 | $446.68 | $549.54 |
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 $208.93 Median $537.03 Typical High $707.95 | Professional | None (both parts) | $208.93 | $537.03 | $707.95 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $87.10 Typical High $112.20 | Professional | 26 · Professional part | $83.18 | $87.10 | $112.20 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $501.19 Typical High $616.60 | Professional | TC · Technical part | $120.23 | $501.19 | $616.60 |
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 $398.11 Typical High $1,071.52 | Professional | None (both parts) | $239.88 | $398.11 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $97.72 Typical High $151.36 | Professional | 26 · Professional part | $74.13 | $97.72 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $302.00 Typical High $912.01 | Professional | TC · Technical part | $141.25 | $302.00 | $912.01 |
Medcost Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
Medcost Setting Facility Modifier None Typical Low $181.97 Median $562.34 Typical High $1,698.24 | Facility | None | $181.97 | $562.34 | $1,698.24 |
Medcost Setting Professional Modifier None (both parts) Typical Low $309.03 Median $549.54 Typical High $707.95 | Professional | None (both parts) | $309.03 | $549.54 | $707.95 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $128.82 Typical High $147.91 | Professional | 26 · Professional part | $107.15 | $128.82 | $147.91 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $457.09 Typical High $891.25 | Professional | TC · Technical part | $269.15 | $457.09 | $891.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $123.03 Median $776.25 Typical High $1,288.25 | Professional | None (both parts) | $123.03 | $776.25 | $1,288.25 |
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 $363.08 Median $616.60 Typical High $1,000.00 | Professional | None (both parts) | $363.08 | $616.60 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $97.72 Typical High $158.49 | Professional | 26 · Professional part | $75.86 | $97.72 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $524.81 Typical High $851.14 | Professional | TC · Technical part | $275.42 | $524.81 | $851.14 |
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 $257.04 Median $257.04 Typical High $316.23 | Professional | 52 · Reduced service | $257.04 | $257.04 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $125.89 | Professional | 53 · Discontinued | $102.33 | $102.33 | $125.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $416.87 Median $416.87 Typical High $501.19 | Professional | FX · Film X-ray | $416.87 | $416.87 | $501.19 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $154.88 Median $275.42 Typical High $446.68 | Professional | 51 · Multiple procedures | $154.88 | $275.42 | $446.68 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $61.66 Median $69.18 Typical High $177.83 | Professional | 80 · Assistant surgeon | $61.66 | $69.18 | $177.83 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $43.65 Median $48.98 Typical High $125.89 | Professional | 81 · Minimal assistant surgeon | $43.65 | $48.98 | $125.89 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $43.65 Median $48.98 Typical High $125.89 | Professional | 82 · Assistant surgeon, no resident | $43.65 | $48.98 | $125.89 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $43.65 Median $48.98 Typical High $125.89 | Professional | AS · PA/NP assist | $43.65 | $48.98 | $125.89 |
Where South Carolina sits
The same service costs 6.0 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· 28th of 51
$708
AK $2,570IN $427
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.