How much rates vary
Facilitymedian $295 · 10th to 90th $120 to $490Professionalmedian $54 · 10th to 90th $38 to $85
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 $43.65 Median $43.65 Typical High $63.10 | Facility | None | $43.65 | $43.65 | $63.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $75.86 | Professional | None (both parts) | $43.65 | $43.65 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $19.50 | Professional | 26 · Professional part | $12.02 | $12.02 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $31.62 Typical High $54.95 | Professional | TC · Technical part | $31.62 | $31.62 | $54.95 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $40.74 Median $56.23 Typical High $93.33 | Professional | None (both parts) | $40.74 | $56.23 | $93.33 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.49 Typical High $25.12 | Professional | 26 · Professional part | $10.96 | $13.49 | $25.12 |
BCBS South Carolina Setting Facility Modifier None Typical Low $144.54 Median $316.23 Typical High $489.78 | Facility | None | $144.54 | $316.23 | $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 $51.29 Median $63.10 Typical High $100.00 | Professional | None (both parts) | $51.29 | $63.10 | $100.00 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $28.84 Typical High $37.15 | Professional | 26 · Professional part | $13.49 | $28.84 | $37.15 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $37.15 Typical High $52.48 | Professional | TC · Technical part | $30.90 | $37.15 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $281.84 Typical High $575.44 | Facility | None | $239.88 | $281.84 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $53.70 Typical High $100.00 | Professional | None (both parts) | $47.86 | $53.70 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $16.98 Typical High $32.36 | Professional | 26 · Professional part | $15.49 | $16.98 | $32.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $36.31 Typical High $67.61 | Professional | TC · Technical part | $32.36 | $36.31 | $67.61 |
Medcost Setting Facility Modifier None Typical Low $43.65 Median $52.48 Typical High $144.54 | Facility | None | $43.65 | $52.48 | $144.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $60.26 Median $67.61 Typical High $100.00 | Professional | None (both parts) | $60.26 | $67.61 | $100.00 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $33.11 | Professional | 26 · Professional part | $22.39 | $22.39 | $33.11 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $75.86 | Professional | TC · Technical part | $45.71 | $45.71 | $75.86 |
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 $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 $43.65 Median $58.88 Typical High $102.33 | Professional | None (both parts) | $43.65 | $58.88 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $17.38 Typical High $30.90 | Professional | 26 · Professional part | $13.49 | $17.38 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $40.74 Typical High $72.44 | Professional | TC · Technical part | $29.51 | $40.74 | $72.44 |
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 $34.67 Median $34.67 Typical High $37.15 | Professional | FX · Film X-ray | $34.67 | $34.67 | $37.15 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $33.88 Median $33.88 Typical High $79.43 | Professional | 51 · Multiple procedures | $33.88 | $33.88 | $79.43 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $13.49 Median $13.49 Typical High $31.62 | Professional | 80 · Assistant surgeon | $13.49 | $13.49 | $31.62 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.55 Median $9.55 Typical High $22.39 | Professional | 81 · Minimal assistant surgeon | $9.55 | $9.55 | $22.39 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.55 Median $9.55 Typical High $22.39 | Professional | 82 · Assistant surgeon, no resident | $9.55 | $9.55 | $22.39 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $9.55 Median $9.55 Typical High $22.39 | Professional | AS · PA/NP assist | $9.55 | $9.55 | $22.39 |
Where South Carolina sits
The same service costs 4.8 times more in Alaska 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· 32nd of 51
$57.54
AK $158UT $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.