How much rates vary
Facilitymedian $1,318 · 10th to 90th $501 to $2,344Professionalmedian $427 · 10th to 90th $174 to $708
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 $457.09 Median $1,949.84 Typical High $3,311.31 | Facility | None | $457.09 | $1,949.84 | $3,311.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $457.09 Typical High $467.74 | Professional | None (both parts) | $389.05 | $457.09 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $125.89 | $165.96 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $295.12 Typical High $338.84 | Professional | TC · Technical part | $251.19 | $295.12 | $338.84 |
BCBS South Carolina Setting Facility Modifier None Typical Low $676.08 Median $1,288.25 Typical High $2,290.87 | Facility | None | $676.08 | $1,288.25 | $2,290.87 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | TC · Technical part | $660.69 | $660.69 | $660.69 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $354.81 Median $501.19 Typical High $676.08 | Professional | None (both parts) | $354.81 | $501.19 | $676.08 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $131.83 Typical High $204.17 | Professional | 26 · Professional part | $104.71 | $131.83 | $204.17 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $323.59 Typical High $501.19 | Professional | TC · Technical part | $223.87 | $323.59 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,445.44 Typical High $2,754.23 | Facility | None | $933.25 | $1,445.44 | $2,754.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $707.95 Typical High $1,047.13 | Professional | None (both parts) | $457.09 | $707.95 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $162.18 Typical High $302.00 | Professional | 26 · Professional part | $144.54 | $162.18 | $302.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $562.34 Typical High $831.76 | Professional | TC · Technical part | $302.00 | $562.34 | $831.76 |
Medcost Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | None | $954.99 | $954.99 | $954.99 |
Medcost Setting Facility Modifier None Typical Low $398.11 Median $478.63 Typical High $741.31 | Facility | None | $398.11 | $478.63 | $741.31 |
Medcost Setting Professional Modifier None (both parts) Typical Low $436.52 Median $707.95 Typical High $1,202.26 | Professional | None (both parts) | $436.52 | $707.95 | $1,202.26 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $245.47 Typical High $331.13 | Professional | 26 · Professional part | $218.78 | $245.47 | $331.13 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $489.78 Typical High $933.25 | Professional | TC · Technical part | $407.38 | $489.78 | $933.25 |
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 $2,290.87 Median $2,754.23 Typical High $3,630.78 | Facility | None | $2,290.87 | $2,754.23 | $3,630.78 |
United Setting Professional Modifier None (both parts) Typical Low $416.87 Median $645.65 Typical High $1,148.15 | Professional | None (both parts) | $416.87 | $645.65 | $1,148.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $165.96 Typical High $295.12 | Professional | 26 · Professional part | $131.83 | $165.96 | $295.12 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $457.09 Typical High $891.25 | Professional | TC · Technical part | $275.42 | $457.09 | $891.25 |
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 $338.84 Median $363.08 Typical High $363.08 | Professional | FX · Film X-ray | $338.84 | $363.08 | $363.08 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $275.42 Median $426.58 Typical High $602.56 | Professional | 51 · Multiple procedures | $275.42 | $426.58 | $602.56 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $109.65 Median $141.25 Typical High $239.88 | Professional | 80 · Assistant surgeon | $109.65 | $141.25 | $239.88 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $77.62 Median $100.00 Typical High $169.82 | Professional | 81 · Minimal assistant surgeon | $77.62 | $100.00 | $169.82 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $77.62 Median $100.00 Typical High $169.82 | Professional | 82 · Assistant surgeon, no resident | $77.62 | $100.00 | $169.82 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $77.62 Median $100.00 Typical High $169.82 | Professional | AS · PA/NP assist | $77.62 | $100.00 | $169.82 |
Where South Carolina sits
The same service costs 6.6 times more in Wyoming than in Texas. 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
$437
WY $1,479TX $224
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.