How much rates vary
Facilitymedian $324 · 10th to 90th $107 to $490Professionalmedian $78 · 10th to 90th $58 to $123
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 $57.54 Median $57.54 Typical High $107.15 | Facility | None | $57.54 | $57.54 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $100.00 | Professional | None (both parts) | $57.54 | $57.54 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $21.88 | Professional | 26 · Professional part | $12.88 | $12.88 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $75.86 | Professional | TC · Technical part | $44.67 | $44.67 | $75.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $53.70 Median $100.00 Typical High $123.03 | Professional | None (both parts) | $53.70 | $100.00 | $123.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.22 Typical High $26.92 | Professional | 26 · Professional part | $14.45 | $16.22 | $26.92 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $74.13 Typical High $74.13 | Professional | TC · Technical part | $63.10 | $74.13 | $74.13 |
BCBS South Carolina Setting Facility Modifier None Typical Low $165.96 Median $338.84 Typical High $489.78 | Facility | None | $165.96 | $338.84 | $489.78 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | TC · Technical part | $204.17 | $204.17 | $204.17 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $67.61 Median $77.62 Typical High $117.49 | Professional | None (both parts) | $67.61 | $77.62 | $117.49 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $30.20 Typical High $38.02 | Professional | 26 · Professional part | $14.45 | $30.20 | $38.02 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $52.48 Typical High $79.43 | Professional | TC · Technical part | $41.69 | $52.48 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $331.13 Typical High $575.44 | Facility | None | $281.84 | $331.13 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $67.61 Typical High $128.82 | Professional | None (both parts) | $60.26 | $67.61 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $18.20 Typical High $34.67 | Professional | 26 · Professional part | $16.60 | $18.20 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $50.12 Typical High $93.33 | Professional | TC · Technical part | $43.65 | $50.12 | $93.33 |
Medcost Setting Facility Modifier None Typical Low $57.54 Median $69.18 Typical High $186.21 | Facility | None | $57.54 | $69.18 | $186.21 |
Medcost Setting Professional Modifier None (both parts) Typical Low $79.43 Median $87.10 Typical High $112.20 | Professional | None (both parts) | $79.43 | $87.10 | $112.20 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $35.48 | Professional | 26 · Professional part | $23.99 | $23.99 | $35.48 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $104.71 | Professional | TC · Technical part | $63.10 | $63.10 | $104.71 |
Molina Setting Professional Modifier None (both parts) Typical Low $64.57 Median $87.10 Typical High $123.03 | Professional | None (both parts) | $64.57 | $87.10 | $123.03 |
United Setting Facility Modifier None Typical Low $436.52 Median $537.03 Typical High $691.83 | Facility | None | $436.52 | $537.03 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $75.86 Typical High $131.83 | Professional | None (both parts) | $54.95 | $75.86 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $19.05 Typical High $33.11 | Professional | 26 · Professional part | $14.45 | $19.05 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $56.23 Typical High $100.00 | Professional | TC · Technical part | $40.74 | $56.23 | $100.00 |
6 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 $45.71 Median $45.71 Typical High $48.98 | Professional | FX · Film X-ray | $45.71 | $45.71 | $48.98 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $43.65 Median $43.65 Typical High $102.33 | Professional | 51 · Multiple procedures | $43.65 | $43.65 | $102.33 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $17.38 Median $17.38 Typical High $40.74 | Professional | 80 · Assistant surgeon | $17.38 | $17.38 | $40.74 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.02 Median $12.02 Typical High $28.84 | Professional | 81 · Minimal assistant surgeon | $12.02 | $12.02 | $28.84 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.02 Median $12.02 Typical High $28.84 | Professional | 82 · Assistant surgeon, no resident | $12.02 | $12.02 | $28.84 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $12.02 Median $12.02 Typical High $28.84 | Professional | AS · PA/NP assist | $12.02 | $12.02 | $28.84 |
Where South Carolina sits
The same service costs 3.6 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· 26th of 51
$81.28
AK $204FL $56.23
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.