How much rates vary
Facilitymedian $1,413 · 10th to 90th $603 to $2,291Professionalmedian $132 · 10th to 90th $78 to $251
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 $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $117.49 | Professional | None (both parts) | $109.65 | $109.65 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $72.44 | Professional | 26 · Professional part | $67.61 | $67.61 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $45.71 | Professional | TC · Technical part | $42.66 | $42.66 | $45.71 |
BCBS South Carolina Setting Facility Modifier None Typical Low $776.25 Median $1,698.24 Typical High $2,290.87 | Facility | None | $776.25 | $1,698.24 | $2,290.87 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | TC · Technical part | $1,122.02 | $1,122.02 | $1,122.02 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $95.50 Median $125.89 Typical High $213.80 | Professional | None (both parts) | $95.50 | $125.89 | $213.80 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $75.86 Typical High $112.20 | Professional | 26 · Professional part | $43.65 | $75.86 | $112.20 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $52.48 Typical High $100.00 | Professional | TC · Technical part | $48.98 | $52.48 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $660.69 Typical High $1,202.26 | Facility | None | $316.23 | $660.69 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $194.98 Typical High $331.13 | Professional | None (both parts) | $162.18 | $194.98 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $114.82 Typical High $204.17 | Professional | 26 · Professional part | $91.20 | $114.82 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $74.13 Typical High $134.90 | Professional | TC · Technical part | $60.26 | $74.13 | $134.90 |
Medcost Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
Medcost Setting Facility Modifier None Typical Low $87.10 Median $147.91 Typical High $354.81 | Facility | None | $87.10 | $147.91 | $354.81 |
Medcost Setting Professional Modifier None (both parts) Typical Low $151.36 Median $229.09 Typical High $338.84 | Professional | None (both parts) | $151.36 | $229.09 | $338.84 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $144.54 Typical High $169.82 | Professional | 26 · Professional part | $102.33 | $144.54 | $169.82 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $107.15 Typical High $138.04 | Professional | TC · Technical part | $85.11 | $107.15 | $138.04 |
Molina Setting Professional Modifier None (both parts) Typical Low $70.79 Median $125.89 Typical High $245.47 | Professional | None (both parts) | $70.79 | $125.89 | $245.47 |
United Setting Facility Modifier None Typical Low $977.24 Median $1,202.26 Typical High $1,548.82 | Facility | None | $977.24 | $1,202.26 | $1,548.82 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $169.82 Typical High $302.00 | Professional | None (both parts) | $131.83 | $169.82 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $104.71 Typical High $177.83 | Professional | 26 · Professional part | $83.18 | $104.71 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $63.10 Typical High $123.03 | Professional | TC · Technical part | $48.98 | $63.10 | $123.03 |
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 $54.95 Median $54.95 Typical High $58.88 | Professional | 52 · Reduced service | $54.95 | $54.95 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $23.99 | Professional | 53 · Discontinued | $21.88 | $21.88 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $89.13 Typical High $95.50 | Professional | FX · Film X-ray | $89.13 | $89.13 | $95.50 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $95.50 Median $120.23 Typical High $169.82 | Professional | 51 · Multiple procedures | $95.50 | $120.23 | $169.82 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $38.02 Median $50.12 Typical High $67.61 | Professional | 80 · Assistant surgeon | $38.02 | $50.12 | $67.61 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $26.30 Median $34.67 Typical High $47.86 | Professional | 81 · Minimal assistant surgeon | $26.30 | $34.67 | $47.86 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $26.30 Median $34.67 Typical High $47.86 | Professional | 82 · Assistant surgeon, no resident | $26.30 | $34.67 | $47.86 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $26.30 Median $34.67 Typical High $47.86 | Professional | AS · PA/NP assist | $26.30 | $34.67 | $47.86 |
Where South Carolina sits
The same service costs 5.6 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· 45th of 51
$138
AK $525TX $93.33
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.