How much rates vary
Facilitymedian $1,585 · 10th to 90th $525 to $2,344Professionalmedian $417 · 10th to 90th $170 to $676
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 $436.52 Median $1,949.84 Typical High $3,311.31 | Facility | None | $436.52 | $1,949.84 | $3,311.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $436.52 Typical High $501.19 | Professional | None (both parts) | $371.54 | $436.52 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $173.78 Typical High $173.78 | Professional | 26 · Professional part | $125.89 | $173.78 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $263.03 Typical High $338.84 | Professional | TC · Technical part | $234.42 | $263.03 | $338.84 |
BCBS South Carolina Setting Facility Modifier None Typical Low $741.31 Median $1,621.81 Typical High $2,290.87 | Facility | None | $741.31 | $1,621.81 | $2,290.87 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | TC · Technical part | $1,071.52 | $1,071.52 | $1,071.52 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $363.08 Median $501.19 Typical High $724.44 | Professional | None (both parts) | $363.08 | $501.19 | $724.44 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $186.21 Typical High $269.15 | Professional | 26 · Professional part | $134.90 | $186.21 | $269.15 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $309.03 Typical High $446.68 | Professional | TC · Technical part | $223.87 | $309.03 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,230.27 Typical High $1,659.59 | Facility | None | $1,047.13 | $1,230.27 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $512.86 Typical High $1,000.00 | Professional | None (both parts) | $467.74 | $512.86 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $169.82 Typical High $316.23 | Professional | 26 · Professional part | $154.88 | $169.82 | $316.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $338.84 Typical High $660.69 | Professional | TC · Technical part | $316.23 | $338.84 | $660.69 |
Medcost Setting Facility Modifier None Typical Low $186.21 Median $446.68 Typical High $707.95 | Facility | None | $186.21 | $446.68 | $707.95 |
Medcost Setting Professional Modifier None (both parts) Typical Low $416.87 Median $588.84 Typical High $1,318.26 | Professional | None (both parts) | $416.87 | $588.84 | $1,318.26 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $223.87 Typical High $524.81 | Professional | 26 · Professional part | $223.87 | $223.87 | $524.81 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $371.54 Typical High $794.33 | Professional | TC · Technical part | $371.54 | $371.54 | $794.33 |
Molina Setting Professional Modifier None (both parts) Typical Low $154.88 Median $295.12 Typical High $575.44 | Professional | None (both parts) | $154.88 | $295.12 | $575.44 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,202.26 Typical High $1,584.89 | Facility | None | $1,000.00 | $1,202.26 | $1,584.89 |
United Setting Professional Modifier None (both parts) Typical Low $426.58 Median $537.03 Typical High $933.25 | Professional | None (both parts) | $426.58 | $537.03 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $173.78 Typical High $309.03 | Professional | 26 · Professional part | $141.25 | $173.78 | $309.03 |
United Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $363.08 Typical High $630.96 | Professional | TC · Technical part | $288.40 | $363.08 | $630.96 |
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 $302.00 Median $354.81 Typical High $354.81 | Professional | FX · Film X-ray | $302.00 | $354.81 | $354.81 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $263.03 Median $295.12 Typical High $660.69 | Professional | 51 · Multiple procedures | $263.03 | $295.12 | $660.69 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $104.71 Median $120.23 Typical High $223.87 | Professional | 80 · Assistant surgeon | $104.71 | $120.23 | $223.87 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $74.13 Median $83.18 Typical High $154.88 | Professional | 81 · Minimal assistant surgeon | $74.13 | $83.18 | $154.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $74.13 Median $83.18 Typical High $154.88 | Professional | 82 · Assistant surgeon, no resident | $74.13 | $83.18 | $154.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $74.13 Median $83.18 Typical High $154.88 | Professional | AS · PA/NP assist | $74.13 | $83.18 | $154.88 |
Where South Carolina sits
The same service costs 7.1 times more in Wyoming 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· 43rd of 51
$427
WY $1,660UT $234
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.