How much rates vary
Facilitymedian $1,202 · 10th to 90th $457 to $2,291Professionalmedian $309 · 10th to 90th $129 to $562
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 $338.84 Median $1,949.84 Typical High $3,311.31 | Facility | None | $338.84 | $1,949.84 | $3,311.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $489.78 | Professional | None (both parts) | $338.84 | $338.84 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $134.90 Typical High $147.91 | Professional | 26 · Professional part | $109.65 | $134.90 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $208.93 Typical High $338.84 | Professional | TC · Technical part | $186.21 | $208.93 | $338.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $288.40 | $288.40 | $288.40 |
BCBS South Carolina Setting Facility Modifier None Typical Low $616.60 Median $1,258.93 Typical High $2,290.87 | Facility | None | $616.60 | $1,258.93 | $2,290.87 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | TC · Technical part | $616.60 | $616.60 | $616.60 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $263.03 Median $457.09 Typical High $616.60 | Professional | None (both parts) | $263.03 | $457.09 | $616.60 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $154.88 Typical High $208.93 | Professional | 26 · Professional part | $104.71 | $154.88 | $208.93 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $302.00 Typical High $389.05 | Professional | TC · Technical part | $158.49 | $302.00 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,047.13 Typical High $1,230.27 | Facility | None | $660.69 | $1,047.13 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $478.63 Typical High $741.31 | Professional | None (both parts) | $338.84 | $478.63 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $128.82 Typical High $239.88 | Professional | 26 · Professional part | $112.20 | $128.82 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $371.54 Typical High $549.54 | Professional | TC · Technical part | $213.80 | $371.54 | $549.54 |
Medcost Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
Medcost Setting Facility Modifier None Typical Low $338.84 Median $416.87 Typical High $812.83 | Facility | None | $338.84 | $416.87 | $812.83 |
Medcost Setting Professional Modifier None (both parts) Typical Low $331.13 Median $616.60 Typical High $812.83 | Professional | None (both parts) | $331.13 | $616.60 | $812.83 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $190.55 Typical High $269.15 | Professional | 26 · Professional part | $173.78 | $190.55 | $269.15 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $446.68 Typical High $660.69 | Professional | TC · Technical part | $288.40 | $446.68 | $660.69 |
Molina Setting Professional Modifier None (both parts) Typical Low $114.82 Median $208.93 Typical High $416.87 | Professional | None (both parts) | $114.82 | $208.93 | $416.87 |
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 $302.00 Median $446.68 Typical High $831.76 | Professional | None (both parts) | $302.00 | $446.68 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $131.83 Typical High $239.88 | Professional | 26 · Professional part | $104.71 | $131.83 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $316.23 Typical High $602.56 | Professional | TC · Technical part | $186.21 | $316.23 | $602.56 |
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 $275.42 Median $275.42 Typical High $331.13 | Professional | FX · Film X-ray | $275.42 | $275.42 | $331.13 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $204.17 Median $316.23 Typical High $426.58 | Professional | 51 · Multiple procedures | $204.17 | $316.23 | $426.58 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $83.18 Median $125.89 Typical High $169.82 | Professional | 80 · Assistant surgeon | $83.18 | $125.89 | $169.82 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $57.54 Median $87.10 Typical High $117.49 | Professional | 81 · Minimal assistant surgeon | $57.54 | $87.10 | $117.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $57.54 Median $87.10 Typical High $117.49 | Professional | 82 · Assistant surgeon, no resident | $57.54 | $87.10 | $117.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $57.54 Median $87.10 Typical High $117.49 | Professional | AS · PA/NP assist | $57.54 | $87.10 | $117.49 |
Where South Carolina sits
The same service costs 6.8 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
$316
WY $1,122UT $166
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.