How much rates vary
Facilitymedian $195 · 10th to 90th $59 to $295Professionalmedian $51 · 10th to 90th $37 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 $38.02 Median $47.86 Typical High $125.89 | Facility | None | $38.02 | $47.86 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $38.02 Typical High $70.79 | Professional | None (both parts) | $38.02 | $38.02 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.33 Typical High $16.60 | Professional | 26 · Professional part | $9.12 | $9.33 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $53.70 | Professional | TC · Technical part | $28.84 | $28.84 | $53.70 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $38.90 Median $63.10 Typical High $81.28 | Professional | None (both parts) | $38.90 | $63.10 | $81.28 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.47 Typical High $19.05 | Professional | 26 · Professional part | $8.32 | $10.47 | $19.05 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $41.69 Typical High $63.10 | Professional | TC · Technical part | $30.20 | $41.69 | $63.10 |
BCBS South Carolina Setting Facility Modifier None Typical Low $97.72 Median $194.98 Typical High $295.12 | Facility | None | $97.72 | $194.98 | $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 $45.71 Median $83.18 Typical High $128.82 | Professional | None (both parts) | $45.71 | $83.18 | $128.82 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $41.69 Typical High $61.66 | Professional | 26 · Professional part | $10.47 | $41.69 | $61.66 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $37.15 Typical High $87.10 | Professional | TC · Technical part | $33.11 | $37.15 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $234.42 Typical High $467.74 | Facility | None | $223.87 | $234.42 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $44.67 Typical High $79.43 | Professional | None (both parts) | $39.81 | $44.67 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.59 Typical High $22.91 | Professional | 26 · Professional part | $11.75 | $12.59 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $32.36 Typical High $60.26 | Professional | TC · Technical part | $28.84 | $32.36 | $60.26 |
Medcost Setting Facility Modifier None Typical Low $38.02 Median $45.71 Typical High $125.89 | Facility | None | $38.02 | $45.71 | $125.89 |
Medcost Setting Professional Modifier None (both parts) Typical Low $52.48 Median $57.54 Typical High $75.86 | Professional | None (both parts) | $52.48 | $57.54 | $75.86 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $38.90 | Professional | 26 · Professional part | $16.60 | $16.60 | $38.90 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $69.18 | Professional | TC · Technical part | $40.74 | $40.74 | $69.18 |
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 $37.15 Median $50.12 Typical High $89.13 | Professional | None (both parts) | $37.15 | $50.12 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $13.18 Typical High $22.91 | Professional | 26 · Professional part | $10.23 | $13.18 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $37.15 Typical High $66.07 | Professional | TC · Technical part | $26.30 | $37.15 | $66.07 |
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 $30.90 Median $30.90 Typical High $32.36 | Professional | FX · Film X-ray | $30.90 | $30.90 | $32.36 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $28.84 Median $28.84 Typical High $69.18 | Professional | 51 · Multiple procedures | $28.84 | $28.84 | $69.18 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $11.48 Median $11.48 Typical High $28.18 | Professional | 80 · Assistant surgeon | $11.48 | $11.48 | $28.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.13 Median $8.13 Typical High $19.50 | Professional | 81 · Minimal assistant surgeon | $8.13 | $8.13 | $19.50 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.13 Median $8.13 Typical High $19.50 | Professional | 82 · Assistant surgeon, no resident | $8.13 | $8.13 | $19.50 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $8.13 Median $8.13 Typical High $19.50 | Professional | AS · PA/NP assist | $8.13 | $8.13 | $19.50 |
Where South Carolina sits
The same service costs 11.7 times more in Vermont than in Utah. 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· 25th of 51
$54.95
VT $389UT $33.11
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.