How much rates vary
Facilitymedian $1,778 · 10th to 90th $661 to $3,162Professionalmedian $525 · 10th to 90th $316 to $933
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 $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $457.09 Typical High $524.81 | Professional | None (both parts) | $457.09 | $457.09 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $257.04 Typical High $295.12 | Professional | 26 · Professional part | $257.04 | $257.04 | $295.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $229.09 | Professional | TC · Technical part | $199.53 | $199.53 | $229.09 |
BCBS South Carolina Setting Facility Modifier None Typical Low $794.33 Median $1,862.09 Typical High $3,388.44 | Facility | None | $794.33 | $1,862.09 | $3,388.44 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | TC · Technical part | $1,348.96 | $1,348.96 | $1,348.96 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $416.87 Median $524.81 Typical High $691.83 | Professional | None (both parts) | $416.87 | $524.81 | $691.83 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $346.74 Typical High $549.54 | Professional | 26 · Professional part | $295.12 | $346.74 | $549.54 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $190.55 Typical High $251.19 | Professional | TC · Technical part | $181.97 | $190.55 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $1,698.24 Typical High $3,090.30 | Facility | None | $1,548.82 | $1,698.24 | $3,090.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $575.44 Typical High $1,096.48 | Professional | None (both parts) | $446.68 | $575.44 | $1,096.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $371.54 Typical High $575.44 | Professional | 26 · Professional part | $275.42 | $371.54 | $575.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $213.80 Typical High $416.87 | Professional | TC · Technical part | $165.96 | $213.80 | $416.87 |
Medcost Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
Medcost Setting Facility Modifier None Typical Low $380.19 Median $575.44 Typical High $1,412.54 | Facility | None | $380.19 | $575.44 | $1,412.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $501.19 Median $691.83 Typical High $758.58 | Professional | None (both parts) | $501.19 | $691.83 | $758.58 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $478.63 Typical High $549.54 | Professional | 26 · Professional part | $302.00 | $478.63 | $549.54 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $257.04 Typical High $426.58 | Professional | TC · Technical part | $245.47 | $257.04 | $426.58 |
Molina Setting Professional Modifier None (both parts) Typical Low $302.00 Median $489.78 Typical High $977.24 | Professional | None (both parts) | $302.00 | $489.78 | $977.24 |
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 $457.09 Median $630.96 Typical High $1,047.13 | Professional | None (both parts) | $457.09 | $630.96 | $1,047.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $363.08 Typical High $575.44 | Professional | 26 · Professional part | $281.84 | $363.08 | $575.44 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $251.19 Typical High $446.68 | Professional | TC · Technical part | $181.97 | $251.19 | $446.68 |
9 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 $229.09 Median $229.09 Typical High $263.03 | Professional | 52 · Reduced service | $229.09 | $229.09 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $104.71 | Professional | 53 · Discontinued | $91.20 | $91.20 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $316.23 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $316.23 | $316.23 | $363.08 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $363.08 Median $363.08 Typical High $416.87 | Professional | FX · Film X-ray | $363.08 | $363.08 | $416.87 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $251.19 Median $338.84 Typical High $478.63 | Professional | 51 · Multiple procedures | $251.19 | $338.84 | $478.63 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $100.00 Median $138.04 Typical High $190.55 | Professional | 80 · Assistant surgeon | $100.00 | $138.04 | $190.55 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $70.79 Median $95.50 Typical High $134.90 | Professional | 81 · Minimal assistant surgeon | $70.79 | $95.50 | $134.90 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $70.79 Median $95.50 Typical High $134.90 | Professional | 82 · Assistant surgeon, no resident | $70.79 | $95.50 | $134.90 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $70.79 Median $95.50 Typical High $134.90 | Professional | AS · PA/NP assist | $70.79 | $95.50 | $134.90 |
Where South Carolina sits
The same service costs 5.6 times more in Alaska than in Florida. 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
$525
AK $2,239FL $398
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.