How much rates vary
Facilitymedian $162 · 10th to 90th $55 to $2,512Professionalmedian $60 · 10th to 90th $37 to $126
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $54.95 Median $1,949.84 Typical High $3,311.31 | Facility | None | $54.95 | $1,949.84 | $3,311.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $478.63 | Professional | None (both parts) | $54.95 | $54.95 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $14.45 Typical High $125.89 | Professional | 26 · Professional part | $13.18 | $14.45 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $338.84 | Professional | TC · Technical part | $40.74 | $40.74 | $338.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None (both parts) | $46.77 | $46.77 | $46.77 |
BCBS South Carolina Setting Facility Modifier None Typical Low $41.69 Median $181.97 Typical High $512.86 | Facility | None | $41.69 | $181.97 | $512.86 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $42.66 Median $104.71 Typical High $138.04 | Professional | None (both parts) | $42.66 | $104.71 | $138.04 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $15.14 Typical High $19.95 | Professional | 26 · Professional part | $10.96 | $15.14 | $19.95 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $89.13 Typical High $109.65 | Professional | TC · Technical part | $31.62 | $89.13 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $162.18 Typical High $204.17 | Facility | None | $131.83 | $162.18 | $204.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $87.10 Typical High $125.89 | Professional | None (both parts) | $54.95 | $87.10 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $13.80 Typical High $26.92 | Professional | 26 · Professional part | $12.88 | $13.80 | $26.92 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $74.13 Typical High $102.33 | Professional | TC · Technical part | $41.69 | $74.13 | $102.33 |
Medcost Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
Medcost Setting Facility Modifier None Typical Low $54.95 Median $66.07 Typical High $125.89 | Facility | None | $54.95 | $66.07 | $125.89 |
Medcost Setting Professional Modifier None (both parts) Typical Low $53.70 Median $125.89 Typical High $128.82 | Professional | None (both parts) | $53.70 | $125.89 | $128.82 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $17.78 Typical High $28.84 | Professional | 26 · Professional part | $17.78 | $17.78 | $28.84 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $107.15 Typical High $131.83 | Professional | TC · Technical part | $57.54 | $107.15 | $131.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $32.36 Median $41.69 Typical High $61.66 | Professional | None (both parts) | $32.36 | $41.69 | $61.66 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $79.43 Typical High $144.54 | Professional | None (both parts) | $48.98 | $79.43 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $14.45 Typical High $25.12 | Professional | 26 · Professional part | $11.48 | $14.45 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $63.10 Typical High $117.49 | Professional | TC · Technical part | $37.15 | $63.10 | $117.49 |
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 $44.67 Median $44.67 Typical High $64.57 | Professional | FX · Film X-ray | $44.67 | $44.67 | $64.57 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $33.11 Median $63.10 Typical High $69.18 | Professional | 51 · Multiple procedures | $33.11 | $63.10 | $69.18 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $13.18 Median $25.12 Typical High $25.70 | Professional | 80 · Assistant surgeon | $13.18 | $25.12 | $25.70 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.33 Median $17.38 Typical High $17.78 | Professional | 81 · Minimal assistant surgeon | $9.33 | $17.38 | $17.78 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.33 Median $17.38 Typical High $17.78 | Professional | 82 · Assistant surgeon, no resident | $9.33 | $17.38 | $17.78 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $9.33 Median $17.38 Typical High $17.78 | Professional | AS · PA/NP assist | $9.33 | $17.38 | $17.78 |
Where South Carolina sits
The same service costs 5.5 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· 42nd of 51
$60.26
WY $182UT $33.11
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.