How much rates vary
Facilitymedian $347 · 10th to 90th $145 to $501Professionalmedian $81 · 10th to 90th $65 to $129
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 $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $89.13 | Professional | None (both parts) | $64.57 | $64.57 | $89.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $19.50 | Professional | 26 · Professional part | $14.45 | $14.45 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $69.18 | Professional | TC · Technical part | $50.12 | $50.12 | $69.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $60.26 | $60.26 | $60.26 |
BCBS South Carolina Setting Facility Modifier None Typical Low $165.96 Median $354.81 Typical High $489.78 | Facility | None | $165.96 | $354.81 | $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 $74.13 Median $83.18 Typical High $123.03 | Professional | None (both parts) | $74.13 | $83.18 | $123.03 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $32.36 Typical High $40.74 | Professional | 26 · Professional part | $16.60 | $32.36 | $40.74 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $57.54 Typical High $85.11 | Professional | TC · Technical part | $45.71 | $57.54 | $85.11 |
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 $66.07 Median $75.86 Typical High $134.90 | Professional | None (both parts) | $66.07 | $75.86 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $19.95 Typical High $35.48 | Professional | 26 · Professional part | $18.20 | $19.95 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $56.23 Typical High $102.33 | Professional | TC · Technical part | $47.86 | $56.23 | $102.33 |
Medcost Setting Facility Modifier None Typical Low $64.57 Median $81.28 Typical High $208.93 | Facility | None | $64.57 | $81.28 | $208.93 |
Medcost Setting Professional Modifier None (both parts) Typical Low $89.13 Median $93.33 Typical High $128.82 | Professional | None (both parts) | $89.13 | $93.33 | $128.82 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $40.74 | Professional | 26 · Professional part | $25.70 | $25.70 | $40.74 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $120.23 | Professional | TC · Technical part | $69.18 | $69.18 | $120.23 |
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 $60.26 Median $87.10 Typical High $151.36 | Professional | None (both parts) | $60.26 | $87.10 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $20.42 Typical High $37.15 | Professional | 26 · Professional part | $16.22 | $20.42 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $63.10 Typical High $114.82 | Professional | TC · Technical part | $43.65 | $63.10 | $114.82 |
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 $51.29 Median $51.29 Typical High $54.95 | Professional | FX · Film X-ray | $51.29 | $51.29 | $54.95 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $46.77 Median $46.77 Typical High $117.49 | Professional | 51 · Multiple procedures | $46.77 | $46.77 | $117.49 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $19.05 Median $19.05 Typical High $46.77 | Professional | 80 · Assistant surgeon | $19.05 | $19.05 | $46.77 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $13.18 Median $13.18 Typical High $32.36 | Professional | 81 · Minimal assistant surgeon | $13.18 | $13.18 | $32.36 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $13.18 Median $13.18 Typical High $32.36 | Professional | 82 · Assistant surgeon, no resident | $13.18 | $13.18 | $32.36 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $13.18 Median $13.18 Typical High $32.36 | Professional | AS · PA/NP assist | $13.18 | $13.18 | $32.36 |
Where South Carolina sits
The same service costs 3.9 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· 27th of 51
$87.10
AK $234FL $60.26
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.