How much rates vary
Facilitymedian $191 · 10th to 90th $62 to $295Professionalmedian $42 · 10th to 90th $27 to $89
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 $26.92 Median $26.92 Typical High $39.81 | Facility | None | $26.92 | $26.92 | $39.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $26.92 Typical High $46.77 | Professional | None (both parts) | $26.92 | $26.92 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $7.59 Typical High $12.30 | Professional | 26 · Professional part | $7.59 | $7.59 | $12.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $19.05 Typical High $32.36 | Professional | TC · Technical part | $19.05 | $19.05 | $32.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $26.92 Median $34.67 Typical High $57.54 | Professional | None (both parts) | $26.92 | $34.67 | $57.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $16.22 | Professional | 26 · Professional part | $14.79 | $14.79 | $16.22 |
BCBS South Carolina Setting Facility Modifier None Typical Low $83.18 Median $190.55 Typical High $295.12 | Facility | None | $83.18 | $190.55 | $295.12 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | TC · Technical part | $123.03 | $123.03 | $123.03 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $31.62 Median $67.61 Typical High $97.72 | Professional | None (both parts) | $31.62 | $67.61 | $97.72 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $38.02 Typical High $48.98 | Professional | 26 · Professional part | $8.71 | $38.02 | $48.98 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $28.84 Typical High $52.48 | Professional | TC · Technical part | $22.91 | $28.84 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $234.42 Typical High $467.74 | Facility | None | $147.91 | $234.42 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $32.36 Typical High $61.66 | Professional | None (both parts) | $28.84 | $32.36 | $61.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.72 Typical High $20.42 | Professional | 26 · Professional part | $9.77 | $10.72 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $21.38 Typical High $40.74 | Professional | TC · Technical part | $19.05 | $21.38 | $40.74 |
Medcost Setting Facility Modifier None Typical Low $26.92 Median $32.36 Typical High $87.10 | Facility | None | $26.92 | $32.36 | $87.10 |
Medcost Setting Professional Modifier None (both parts) Typical Low $37.15 Median $41.69 Typical High $52.48 | Professional | None (both parts) | $37.15 | $41.69 | $52.48 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $20.89 | Professional | 26 · Professional part | $13.80 | $13.80 | $20.89 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $27.54 Typical High $44.67 | Professional | TC · Technical part | $27.54 | $27.54 | $44.67 |
Molina Setting Professional Modifier None (both parts) Typical Low $32.36 Median $43.65 Typical High $61.66 | Professional | None (both parts) | $32.36 | $43.65 | $61.66 |
United Setting Facility Modifier None Typical Low $363.08 Median $446.68 Typical High $575.44 | Facility | None | $363.08 | $446.68 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $26.30 Median $35.48 Typical High $63.10 | Professional | None (both parts) | $26.30 | $35.48 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.96 Typical High $19.50 | Professional | 26 · Professional part | $8.71 | $10.96 | $19.50 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $23.99 Typical High $43.65 | Professional | TC · Technical part | $17.38 | $23.99 | $43.65 |
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 $21.38 Median $21.38 Typical High $22.91 | Professional | FX · Film X-ray | $21.38 | $21.38 | $22.91 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $20.42 Median $20.42 Typical High $47.86 | Professional | 51 · Multiple procedures | $20.42 | $20.42 | $47.86 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.32 Median $8.32 Typical High $19.50 | Professional | 80 · Assistant surgeon | $8.32 | $8.32 | $19.50 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.75 Median $5.75 Typical High $13.49 | Professional | 81 · Minimal assistant surgeon | $5.75 | $5.75 | $13.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.75 Median $5.75 Typical High $13.49 | Professional | 82 · Assistant surgeon, no resident | $5.75 | $5.75 | $13.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.75 Median $5.75 Typical High $13.49 | Professional | AS · PA/NP assist | $5.75 | $5.75 | $13.49 |
Where South Carolina sits
The same service costs 3.7 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· 18th of 51
$43.65
AK $97.72FL $26.30
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.