How much rates vary
Facilitymedian $204 · 10th to 90th $83 to $295Professionalmedian $37 · 10th to 90th $26 to $60
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 $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $23.99 Typical High $36.31 | Professional | None (both parts) | $23.99 | $23.99 | $36.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $6.76 Typical High $10.23 | Professional | 26 · Professional part | $6.76 | $6.76 | $10.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $16.98 Typical High $26.92 | Professional | TC · Technical part | $16.98 | $16.98 | $26.92 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.76 Typical High $12.88 | Professional | 26 · Professional part | $7.76 | $7.76 | $12.88 |
BCBS South Carolina Setting Facility Modifier None Typical Low $97.72 Median $204.17 Typical High $295.12 | Facility | None | $97.72 | $204.17 | $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 $27.54 Median $37.15 Typical High $57.54 | Professional | None (both parts) | $27.54 | $37.15 | $57.54 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $19.05 Typical High $26.92 | Professional | 26 · Professional part | $7.76 | $19.05 | $26.92 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $19.95 Typical High $33.88 | Professional | TC · Technical part | $16.98 | $19.95 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $234.42 Typical High $467.74 | Facility | None | $131.83 | $234.42 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $30.20 Typical High $57.54 | Professional | None (both parts) | $26.92 | $30.20 | $57.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $9.33 Typical High $18.20 | Professional | 26 · Professional part | $8.71 | $9.33 | $18.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $20.89 Typical High $38.90 | Professional | TC · Technical part | $18.20 | $20.89 | $38.90 |
Medcost Setting Facility Modifier None Typical Low $23.99 Median $28.84 Typical High $77.62 | Facility | None | $23.99 | $28.84 | $77.62 |
Medcost Setting Professional Modifier None (both parts) Typical Low $33.11 Median $38.90 Typical High $46.77 | Professional | None (both parts) | $33.11 | $38.90 | $46.77 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $18.62 | Professional | 26 · Professional part | $12.30 | $12.30 | $18.62 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $26.30 Typical High $40.74 | Professional | TC · Technical part | $26.30 | $26.30 | $40.74 |
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 $24.55 Median $32.36 Typical High $56.23 | Professional | None (both parts) | $24.55 | $32.36 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.77 Typical High $16.60 | Professional | 26 · Professional part | $7.76 | $9.77 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $22.39 Typical High $39.81 | Professional | TC · Technical part | $16.60 | $22.39 | $39.81 |
7 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 $19.05 Median $19.05 Typical High $20.42 | Professional | FX · Film X-ray | $19.05 | $19.05 | $20.42 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $57.54 Median $57.54 Typical High $128.82 | Professional | 50 · Both sides | $57.54 | $57.54 | $128.82 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $19.50 Median $19.50 Typical High $42.66 | Professional | 51 · Multiple procedures | $19.50 | $19.50 | $42.66 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.76 Median $7.76 Typical High $17.38 | Professional | 80 · Assistant surgeon | $7.76 | $7.76 | $17.38 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.37 Median $5.37 Typical High $12.02 | Professional | 81 · Minimal assistant surgeon | $5.37 | $5.37 | $12.02 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.37 Median $5.37 Typical High $12.02 | Professional | 82 · Assistant surgeon, no resident | $5.37 | $5.37 | $12.02 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.37 Median $5.37 Typical High $12.02 | Professional | AS · PA/NP assist | $5.37 | $5.37 | $12.02 |
Where South Carolina sits
The same service costs 3.8 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
$38.90
AK $87.10FL $22.91
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.