How much rates vary
Facilitymedian $275 · 10th to 90th $38 to $1,660Professionalmedian $51 · 10th to 90th $24 to $219
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 $63.10 Median $275.42 Typical High $2,630.27 | Facility | None | $63.10 | $275.42 | $2,630.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $26.92 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $9.55 | $83.18 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $190.55 Typical High $208.93 | Professional | TC · Technical part | $15.85 | $190.55 | $208.93 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $26.30 Median $40.74 Typical High $43.65 | Professional | None (both parts) | $26.30 | $40.74 | $43.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $9.77 Typical High $16.60 | Professional | 26 · Professional part | $7.24 | $9.77 | $16.60 |
BCBS South Carolina Setting Facility Modifier None Typical Low $13.49 Median $151.36 Typical High $338.84 | Facility | None | $13.49 | $151.36 | $338.84 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $23.99 Median $151.36 Typical High $208.93 | Professional | None (both parts) | $23.99 | $151.36 | $208.93 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $12.02 Typical High $15.85 | Professional | 26 · Professional part | $9.12 | $12.02 | $15.85 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $138.04 Typical High $169.82 | Professional | TC · Technical part | $14.79 | $138.04 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $257.04 | Facility | None | $48.98 | $48.98 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $93.33 Typical High $144.54 | Professional | None (both parts) | $26.30 | $93.33 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $11.22 Typical High $21.88 | Professional | 26 · Professional part | $9.55 | $11.22 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $83.18 Typical High $134.90 | Professional | TC · Technical part | $14.79 | $83.18 | $134.90 |
Medcost Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Medcost Setting Facility Modifier None Typical Low $38.02 Median $67.61 Typical High $371.54 | Facility | None | $38.02 | $67.61 | $371.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $26.92 Median $97.72 Typical High $218.78 | Professional | None (both parts) | $26.92 | $97.72 | $218.78 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $16.22 Typical High $22.91 | Professional | 26 · Professional part | $14.79 | $16.22 | $22.91 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $56.23 Typical High $83.18 | Professional | TC · Technical part | $23.44 | $56.23 | $83.18 |
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 $21.88 Median $46.77 Typical High $173.78 | Professional | None (both parts) | $21.88 | $46.77 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.75 Typical High $20.42 | Professional | 26 · Professional part | $9.12 | $11.75 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $26.92 Typical High $147.91 | Professional | TC · Technical part | $12.02 | $26.92 | $147.91 |
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 $19.05 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $19.05 | $218.78 | $218.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $16.98 Median $48.98 Typical High $109.65 | Professional | 51 · Multiple procedures | $16.98 | $48.98 | $109.65 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.76 Median $19.50 Typical High $43.65 | Professional | 80 · Assistant surgeon | $6.76 | $19.50 | $43.65 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.79 Median $13.80 Typical High $30.20 | Professional | 81 · Minimal assistant surgeon | $4.79 | $13.80 | $30.20 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.79 Median $13.80 Typical High $30.20 | Professional | 82 · Assistant surgeon, no resident | $4.79 | $13.80 | $30.20 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.79 Median $13.80 Typical High $30.20 | Professional | AS · PA/NP assist | $4.79 | $13.80 | $30.20 |
Where South Carolina sits
The same service costs 4.8 times more in Kansas than in New York. 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· 11th of 51
$52.48
KS $107NY $22.39
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.