How much rates vary
Facilitymedian $1,585 · 10th to 90th $447 to $2,344Professionalmedian $204 · 10th to 90th $110 to $363
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 $245.47 Median $1,949.84 Typical High $3,311.31 | Facility | None | $245.47 | $1,949.84 | $3,311.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $245.47 Typical High $426.58 | Professional | None (both parts) | $208.93 | $245.47 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $87.10 | $107.15 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $138.04 Typical High $251.19 | Professional | TC · Technical part | $117.49 | $138.04 | $251.19 |
BCBS South Carolina Setting Facility Modifier None Typical Low $758.58 Median $1,659.59 Typical High $2,344.23 | Facility | None | $758.58 | $1,659.59 | $2,344.23 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $186.21 Median $269.15 Typical High $389.05 | Professional | None (both parts) | $186.21 | $269.15 | $389.05 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $109.65 Typical High $158.49 | Professional | 26 · Professional part | $83.18 | $109.65 | $158.49 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $162.18 Typical High $234.42 | Professional | TC · Technical part | $102.33 | $162.18 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $549.54 Typical High $691.83 | Facility | None | $446.68 | $549.54 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $251.19 Typical High $512.86 | Professional | None (both parts) | $229.09 | $251.19 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $102.33 Typical High $194.98 | Professional | 26 · Professional part | $93.33 | $102.33 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $147.91 Typical High $295.12 | Professional | TC · Technical part | $134.90 | $147.91 | $295.12 |
Medcost Setting Facility Modifier None Typical Low $199.53 Median $269.15 Typical High $549.54 | Facility | None | $199.53 | $269.15 | $549.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $234.42 Median $323.59 Typical High $758.58 | Professional | None (both parts) | $234.42 | $323.59 | $758.58 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $131.83 Typical High $323.59 | Professional | 26 · Professional part | $131.83 | $131.83 | $323.59 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $436.52 | Professional | TC · Technical part | $194.98 | $194.98 | $436.52 |
Molina Setting Professional Modifier None (both parts) Typical Low $102.33 Median $165.96 Typical High $316.23 | Professional | None (both parts) | $102.33 | $165.96 | $316.23 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $263.03 Typical High $446.68 | Professional | None (both parts) | $204.17 | $263.03 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $104.71 Typical High $190.55 | Professional | 26 · Professional part | $83.18 | $104.71 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $154.88 Typical High $263.03 | Professional | TC · Technical part | $123.03 | $154.88 | $263.03 |
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 $194.98 Median $194.98 Typical High $281.84 | Professional | FX · Film X-ray | $194.98 | $194.98 | $281.84 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $147.91 Median $162.18 Typical High $380.19 | Professional | 51 · Multiple procedures | $147.91 | $162.18 | $380.19 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $58.88 Median $66.07 Typical High $120.23 | Professional | 80 · Assistant surgeon | $58.88 | $66.07 | $120.23 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $41.69 Median $45.71 Typical High $85.11 | Professional | 81 · Minimal assistant surgeon | $41.69 | $45.71 | $85.11 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $41.69 Median $45.71 Typical High $85.11 | Professional | 82 · Assistant surgeon, no resident | $41.69 | $45.71 | $85.11 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $41.69 Median $45.71 Typical High $85.11 | Professional | AS · PA/NP assist | $41.69 | $45.71 | $85.11 |
Where South Carolina sits
The same service costs 7.6 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· 44th of 51
$219
WY $794UT $105
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.