How much rates vary
Facilitymedian $234 · 10th to 90th $89 to $309Professionalmedian $66 · 10th to 90th $40 to $148
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 $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $77.62 | Professional | None (both parts) | $47.86 | $47.86 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $17.78 | Professional | 26 · Professional part | $11.22 | $11.22 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $37.15 Typical High $63.10 | Professional | TC · Technical part | $36.31 | $37.15 | $63.10 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $100.00 | Professional | None (both parts) | $81.28 | $81.28 | $100.00 |
BCBS South Carolina Setting Facility Modifier None Typical Low $112.20 Median $213.80 Typical High $295.12 | Facility | None | $112.20 | $213.80 | $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 $58.88 Median $104.71 Typical High $162.18 | Professional | None (both parts) | $58.88 | $104.71 | $162.18 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $53.70 Typical High $79.43 | Professional | 26 · Professional part | $12.88 | $53.70 | $79.43 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $45.71 Typical High $107.15 | Professional | TC · Technical part | $39.81 | $45.71 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $295.12 Typical High $575.44 | Facility | None | $281.84 | $295.12 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $56.23 Typical High $107.15 | Professional | None (both parts) | $50.12 | $56.23 | $107.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $15.85 Typical High $30.20 | Professional | 26 · Professional part | $14.45 | $15.85 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $39.81 Typical High $77.62 | Professional | TC · Technical part | $35.48 | $39.81 | $77.62 |
Medcost Setting Facility Modifier None Typical Low $47.86 Median $57.54 Typical High $158.49 | Facility | None | $47.86 | $57.54 | $158.49 |
Medcost Setting Professional Modifier None (both parts) Typical Low $66.07 Median $72.44 Typical High $95.50 | Professional | None (both parts) | $66.07 | $72.44 | $95.50 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $31.62 | Professional | 26 · Professional part | $21.38 | $21.38 | $31.62 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $87.10 | Professional | TC · Technical part | $51.29 | $51.29 | $87.10 |
Molina Setting Professional Modifier None (both parts) Typical Low $35.48 Median $63.10 Typical High $114.82 | Professional | None (both parts) | $35.48 | $63.10 | $114.82 |
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 $45.71 Median $63.10 Typical High $109.65 | Professional | None (both parts) | $45.71 | $63.10 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $16.22 Typical High $28.18 | Professional | 26 · Professional part | $12.59 | $16.22 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $45.71 Typical High $83.18 | Professional | TC · Technical part | $32.36 | $45.71 | $83.18 |
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 $38.90 Median $38.90 Typical High $40.74 | Professional | FX · Film X-ray | $38.90 | $38.90 | $40.74 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $36.31 Median $36.31 Typical High $87.10 | Professional | 51 · Multiple procedures | $36.31 | $36.31 | $87.10 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $14.45 Median $14.45 Typical High $35.48 | Professional | 80 · Assistant surgeon | $14.45 | $14.45 | $35.48 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.00 Median $10.00 Typical High $24.55 | Professional | 81 · Minimal assistant surgeon | $10.00 | $10.00 | $24.55 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.00 Median $10.00 Typical High $24.55 | Professional | 82 · Assistant surgeon, no resident | $10.00 | $10.00 | $24.55 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $10.00 Median $10.00 Typical High $24.55 | Professional | AS · PA/NP assist | $10.00 | $10.00 | $24.55 |
Where South Carolina sits
The same service costs 3.5 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
$70.79
AK $162FL $46.77
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.