How much rates vary
Facilitymedian $1,862 · 10th to 90th $692 to $3,467Professionalmedian $501 · 10th to 90th $174 to $851
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 $524.81 Median $1,949.84 Typical High $3,311.31 | Facility | None | $524.81 | $1,949.84 | $3,311.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $524.81 Typical High $537.03 | Professional | None (both parts) | $436.52 | $524.81 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $169.82 Typical High $169.82 | Professional | 26 · Professional part | $141.25 | $169.82 | $169.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $346.74 Typical High $354.81 | Professional | TC · Technical part | $302.00 | $346.74 | $354.81 |
BCBS South Carolina Setting Facility Modifier None Typical Low $977.24 Median $1,862.09 Typical High $3,467.37 | Facility | None | $977.24 | $1,862.09 | $3,467.37 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | TC · Technical part | $776.25 | $776.25 | $776.25 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $407.38 Median $707.95 Typical High $891.25 | Professional | None (both parts) | $407.38 | $707.95 | $891.25 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $147.91 Typical High $281.84 | Professional | 26 · Professional part | $134.90 | $147.91 | $281.84 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $478.63 Typical High $602.56 | Professional | TC · Technical part | $269.15 | $478.63 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,737.80 Typical High $3,981.07 | Facility | None | $1,122.02 | $1,737.80 | $3,981.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $812.83 Typical High $1,202.26 | Professional | None (both parts) | $524.81 | $812.83 | $1,202.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $169.82 Typical High $316.23 | Professional | 26 · Professional part | $147.91 | $169.82 | $316.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $660.69 Typical High $977.24 | Professional | TC · Technical part | $363.08 | $660.69 | $977.24 |
Medcost Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Medcost Setting Facility Modifier None Typical Low $512.86 Median $588.84 Typical High $851.14 | Facility | None | $512.86 | $588.84 | $851.14 |
Medcost Setting Professional Modifier None (both parts) Typical Low $501.19 Median $954.99 Typical High $1,380.38 | Professional | None (both parts) | $501.19 | $954.99 | $1,380.38 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $257.04 Typical High $346.74 | Professional | 26 · Professional part | $223.87 | $257.04 | $346.74 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $776.25 Typical High $1,122.02 | Professional | TC · Technical part | $489.78 | $776.25 | $1,122.02 |
Molina Setting Professional Modifier None (both parts) Typical Low $154.88 Median $371.54 Typical High $691.83 | Professional | None (both parts) | $154.88 | $371.54 | $691.83 |
United Setting Facility Modifier None Typical Low $3,311.31 Median $3,981.07 Typical High $5,248.07 | Facility | None | $3,311.31 | $3,981.07 | $5,248.07 |
United Setting Professional Modifier None (both parts) Typical Low $467.74 Median $741.31 Typical High $1,318.26 | Professional | None (both parts) | $467.74 | $741.31 | $1,318.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $169.82 Typical High $309.03 | Professional | 26 · Professional part | $134.90 | $169.82 | $309.03 |
United Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $537.03 Typical High $1,047.13 | Professional | TC · Technical part | $323.59 | $537.03 | $1,047.13 |
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 $354.81 Median $416.87 Typical High $416.87 | Professional | FX · Film X-ray | $354.81 | $416.87 | $416.87 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $309.03 Median $489.78 Typical High $691.83 | Professional | 51 · Multiple procedures | $309.03 | $489.78 | $691.83 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $125.89 Median $194.98 Typical High $275.42 | Professional | 80 · Assistant surgeon | $125.89 | $194.98 | $275.42 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $87.10 Median $134.90 Typical High $194.98 | Professional | 81 · Minimal assistant surgeon | $87.10 | $134.90 | $194.98 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $87.10 Median $134.90 Typical High $194.98 | Professional | 82 · Assistant surgeon, no resident | $87.10 | $134.90 | $194.98 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $87.10 Median $134.90 Typical High $194.98 | Professional | AS · PA/NP assist | $87.10 | $134.90 | $194.98 |
Where South Carolina sits
The same service costs 5.8 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· 42nd of 51
$513
WY $1,698TX $295
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.