How much rates vary
Facilitymedian $977 · 10th to 90th $417 to $1,413Professionalmedian $126 · 10th to 90th $79 to $257
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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $93.33 | Professional | None (both parts) | $87.10 | $87.10 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $57.54 | Professional | 26 · Professional part | $54.95 | $54.95 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.11 Typical High $36.31 | Professional | TC · Technical part | $33.11 | $33.11 | $36.31 |
BCBS South Carolina Setting Facility Modifier None Typical Low $512.86 Median $1,071.52 Typical High $1,412.54 | Facility | None | $512.86 | $1,071.52 | $1,412.54 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | TC · Technical part | $660.69 | $660.69 | $660.69 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $776.25 | $776.25 | $776.25 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $61.66 | $89.13 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $660.69 Typical High $1,202.26 | Facility | None | $251.19 | $660.69 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $151.36 Typical High $263.03 | Professional | None (both parts) | $125.89 | $151.36 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $95.50 Typical High $162.18 | Professional | 26 · Professional part | $74.13 | $95.50 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $56.23 Typical High $100.00 | Professional | TC · Technical part | $50.12 | $56.23 | $100.00 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 26 · Professional part | $154.88 | $154.88 | $154.88 |
Medcost Setting Facility Modifier None Typical Low $87.10 Median $117.49 Typical High $204.17 | Facility | None | $87.10 | $117.49 | $204.17 |
Medcost Setting Professional Modifier None (both parts) Typical Low $120.23 Median $213.80 Typical High $281.84 | Professional | None (both parts) | $120.23 | $213.80 | $281.84 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $128.82 Typical High $134.90 | Professional | 26 · Professional part | $109.65 | $128.82 | $134.90 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $87.10 Typical High $87.10 | Professional | TC · Technical part | $66.07 | $87.10 | $87.10 |
Molina Setting Professional Modifier None (both parts) Typical Low $70.79 Median $109.65 Typical High $131.83 | Professional | None (both parts) | $70.79 | $109.65 | $131.83 |
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 $107.15 Median $194.98 Typical High $398.11 | Professional | None (both parts) | $107.15 | $194.98 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $83.18 Typical High $147.91 | Professional | 26 · Professional part | $66.07 | $83.18 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $70.79 Typical High $245.47 | Professional | TC · Technical part | $40.74 | $70.79 | $245.47 |
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 $43.65 Median $43.65 Typical High $46.77 | Professional | 52 · Reduced service | $43.65 | $43.65 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $19.05 | Professional | 53 · Discontinued | $17.38 | $17.38 | $19.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $70.79 Typical High $75.86 | Professional | FX · Film X-ray | $70.79 | $70.79 | $75.86 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $75.86 Median $107.15 Typical High $141.25 | Professional | 51 · Multiple procedures | $75.86 | $107.15 | $141.25 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $30.20 Median $42.66 Typical High $56.23 | Professional | 80 · Assistant surgeon | $30.20 | $42.66 | $56.23 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $21.38 Median $30.20 Typical High $39.81 | Professional | 81 · Minimal assistant surgeon | $21.38 | $30.20 | $39.81 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $21.38 Median $30.20 Typical High $39.81 | Professional | 82 · Assistant surgeon, no resident | $21.38 | $30.20 | $39.81 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $21.38 Median $30.20 Typical High $39.81 | Professional | AS · PA/NP assist | $21.38 | $30.20 | $39.81 |
Where South Carolina sits
The same service costs 4.7 times more in Nebraska than in New Jersey. 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· 41st of 51
$138
NE $537NJ $115
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.