How much rates vary
Facilitymedian $1,738 · 10th to 90th $813 to $2,399Professionalmedian $389 · 10th to 90th $112 to $1,072
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 $812.83 Median $1,949.84 Typical High $3,311.31 | Facility | None | $812.83 | $1,949.84 | $3,311.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $812.83 Typical High $812.83 | Professional | None (both parts) | $524.81 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $144.54 Typical High $144.54 | Professional | 26 · Professional part | $120.23 | $144.54 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $660.69 Typical High $660.69 | Professional | TC · Technical part | $436.52 | $660.69 | $660.69 |
BCBS South Carolina Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $2,344.23 | Facility | None | $831.76 | $1,737.80 | $2,344.23 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | TC · Technical part | $1,071.52 | $1,071.52 | $1,071.52 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $524.81 | Professional | None (both parts) | $380.19 | $380.19 | $524.81 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $147.91 Typical High $199.53 | Professional | 26 · Professional part | $112.20 | $147.91 | $199.53 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $371.54 | Professional | TC · Technical part | $263.03 | $263.03 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $2,238.72 Typical High $3,467.37 | Facility | None | $1,230.27 | $2,238.72 | $3,467.37 |
Cigna Setting Professional Modifier None (both parts) Typical Low $691.83 Median $776.25 Typical High $1,445.44 | Professional | None (both parts) | $691.83 | $776.25 | $1,445.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $138.04 Typical High $257.04 | Professional | 26 · Professional part | $117.49 | $138.04 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $630.96 Typical High $1,174.90 | Professional | TC · Technical part | $575.44 | $630.96 | $1,174.90 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 26 · Professional part | $239.88 | $239.88 | $239.88 |
Medcost Setting Facility Modifier None Typical Low $186.21 Median $812.83 Typical High $1,023.29 | Facility | None | $186.21 | $812.83 | $1,023.29 |
Medcost Setting Professional Modifier None (both parts) Typical Low $691.83 Median $1,071.52 Typical High $1,380.38 | Professional | None (both parts) | $691.83 | $1,071.52 | $1,380.38 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $186.21 Typical High $295.12 | Professional | 26 · Professional part | $144.54 | $186.21 | $295.12 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $933.25 Typical High $2,041.74 | Professional | TC · Technical part | $645.65 | $933.25 | $2,041.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $100.00 Median $125.89 Typical High $190.55 | Professional | None (both parts) | $100.00 | $125.89 | $190.55 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,202.26 Typical High $1,584.89 | Facility | None | $1,000.00 | $1,202.26 | $1,584.89 |
United Setting Professional Modifier None (both parts) Typical Low $489.78 Median $724.44 Typical High $1,258.93 | Professional | None (both parts) | $489.78 | $724.44 | $1,258.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $141.25 Typical High $257.04 | Professional | 26 · Professional part | $112.20 | $141.25 | $257.04 |
United Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $575.44 Typical High $1,000.00 | Professional | TC · Technical part | $380.19 | $575.44 | $1,000.00 |
7 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 FX · Film X-ray Typical Low $478.63 Median $645.65 Typical High $645.65 | Professional | FX · Film X-ray | $478.63 | $645.65 | $645.65 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,047.13 Median $1,698.24 Typical High $2,137.96 | Professional | 50 · Both sides | $1,047.13 | $1,698.24 | $2,137.96 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $346.74 Median $562.34 Typical High $1,000.00 | Professional | 51 · Multiple procedures | $346.74 | $562.34 | $1,000.00 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $138.04 Median $223.87 Typical High $288.40 | Professional | 80 · Assistant surgeon | $138.04 | $223.87 | $288.40 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $97.72 Median $158.49 Typical High $199.53 | Professional | 81 · Minimal assistant surgeon | $97.72 | $158.49 | $199.53 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $97.72 Median $158.49 Typical High $199.53 | Professional | 82 · Assistant surgeon, no resident | $97.72 | $158.49 | $199.53 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $97.72 Median $158.49 Typical High $199.53 | Professional | AS · PA/NP assist | $97.72 | $158.49 | $199.53 |
Where South Carolina sits
The same service costs 7.4 times more in Alaska than in Washington. 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· 44th of 51
$537
AK $2,754WA $372
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.