How much rates vary
Facilitymedian $1,738 · 10th to 90th $589 to $3,236Professionalmedian $427 · 10th to 90th $174 to $724
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 $446.68 Median $1,819.70 Typical High $3,311.31 | Facility | None | $446.68 | $1,819.70 | $3,311.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $446.68 Typical High $616.60 | Professional | None (both parts) | $426.58 | $446.68 | $616.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $147.91 Typical High $186.21 | Professional | 26 · Professional part | $123.03 | $147.91 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $295.12 Typical High $389.05 | Professional | TC · Technical part | $281.84 | $295.12 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $380.19 | $380.19 | $380.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $128.82 Typical High $213.80 | Professional | 26 · Professional part | $93.33 | $128.82 | $213.80 |
BCBS South Carolina Setting Facility Modifier None Typical Low $891.25 Median $1,819.70 Typical High $3,235.94 | Facility | None | $891.25 | $1,819.70 | $3,235.94 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | TC · Technical part | $758.58 | $758.58 | $758.58 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $346.74 Median $660.69 Typical High $812.83 | Professional | None (both parts) | $346.74 | $660.69 | $812.83 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $134.90 Typical High $257.04 | Professional | 26 · Professional part | $117.49 | $134.90 | $257.04 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $446.68 Typical High $575.44 | Professional | TC · Technical part | $223.87 | $446.68 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,479.11 Typical High $1,778.28 | Facility | None | $954.99 | $1,479.11 | $1,778.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $645.65 Typical High $977.24 | Professional | None (both parts) | $436.52 | $645.65 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $144.54 Typical High $275.42 | Professional | 26 · Professional part | $125.89 | $144.54 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $524.81 Typical High $776.25 | Professional | TC · Technical part | $302.00 | $524.81 | $776.25 |
Medcost Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
Medcost Setting Facility Modifier None Typical Low $446.68 Median $562.34 Typical High $1,258.93 | Facility | None | $446.68 | $562.34 | $1,258.93 |
Medcost Setting Professional Modifier None (both parts) Typical Low $426.58 Median $831.76 Typical High $1,096.48 | Professional | None (both parts) | $426.58 | $831.76 | $1,096.48 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $213.80 Typical High $302.00 | Professional | 26 · Professional part | $190.55 | $213.80 | $302.00 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $645.65 Typical High $933.25 | Professional | TC · Technical part | $416.87 | $645.65 | $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 $1,479.11 Median $1,778.28 Typical High $2,344.23 | Facility | None | $1,479.11 | $1,778.28 | $2,344.23 |
United Setting Professional Modifier None (both parts) Typical Low $398.11 Median $602.56 Typical High $1,122.02 | Professional | None (both parts) | $398.11 | $602.56 | $1,122.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $144.54 Typical High $263.03 | Professional | 26 · Professional part | $117.49 | $144.54 | $263.03 |
United Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $457.09 Typical High $851.14 | Professional | TC · Technical part | $269.15 | $457.09 | $851.14 |
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 $354.81 Typical High $354.81 | Professional | FX · Film X-ray | $338.84 | $354.81 | $354.81 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $269.15 Median $416.87 Typical High $549.54 | Professional | 51 · Multiple procedures | $269.15 | $416.87 | $549.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $107.15 Median $169.82 Typical High $223.87 | Professional | 80 · Assistant surgeon | $107.15 | $169.82 | $223.87 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $75.86 Median $117.49 Typical High $154.88 | Professional | 81 · Minimal assistant surgeon | $75.86 | $117.49 | $154.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $75.86 Median $117.49 Typical High $154.88 | Professional | 82 · Assistant surgeon, no resident | $75.86 | $117.49 | $154.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $75.86 Median $117.49 Typical High $154.88 | Professional | AS · PA/NP assist | $75.86 | $117.49 | $154.88 |
Where South Carolina sits
The same service costs 6.3 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
$427
WY $1,445TX $229
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.