How much rates vary
Facilitymedian $407 · 10th to 90th $178 to $661Professionalmedian $141 · 10th to 90th $95 to $229
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 $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $173.78 | Professional | None (both parts) | $120.23 | $120.23 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $39.81 | Professional | 26 · Professional part | $30.20 | $30.20 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $131.83 | Professional | TC · Technical part | $91.20 | $91.20 | $131.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $37.15 | Professional | 26 · Professional part | $33.88 | $33.88 | $37.15 |
BCBS South Carolina Setting Facility Modifier None Typical Low $213.80 Median $416.87 Typical High $630.96 | Facility | None | $213.80 | $416.87 | $630.96 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | TC · Technical part | $239.88 | $239.88 | $239.88 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $134.90 Median $144.54 Typical High $186.21 | Professional | None (both parts) | $134.90 | $144.54 | $186.21 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $48.98 Typical High $81.28 | Professional | 26 · Professional part | $33.88 | $48.98 | $81.28 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $95.50 Typical High $123.03 | Professional | TC · Technical part | $89.13 | $95.50 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $446.68 Typical High $691.83 | Facility | None | $281.84 | $446.68 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $147.91 Typical High $269.15 | Professional | None (both parts) | $125.89 | $147.91 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.90 Typical High $69.18 | Professional | 26 · Professional part | $34.67 | $38.90 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $104.71 Typical High $199.53 | Professional | TC · Technical part | $89.13 | $104.71 | $199.53 |
Medcost Setting Facility Modifier None Typical Low $89.13 Median $158.49 Typical High $389.05 | Facility | None | $89.13 | $158.49 | $389.05 |
Medcost Setting Professional Modifier None (both parts) Typical Low $165.96 Median $190.55 Typical High $223.87 | Professional | None (both parts) | $165.96 | $190.55 | $223.87 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $57.54 Typical High $64.57 | Professional | 26 · Professional part | $53.70 | $57.54 | $64.57 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $141.25 Typical High $194.98 | Professional | TC · Technical part | $131.83 | $141.25 | $194.98 |
Molina Setting Professional Modifier None (both parts) Typical Low $51.29 Median $138.04 Typical High $223.87 | Professional | None (both parts) | $51.29 | $138.04 | $223.87 |
United Setting Facility Modifier None Typical Low $436.52 Median $537.03 Typical High $691.83 | Facility | None | $436.52 | $537.03 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $147.91 Typical High $263.03 | Professional | None (both parts) | $123.03 | $147.91 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.90 Typical High $69.18 | Professional | 26 · Professional part | $31.62 | $38.90 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $109.65 Typical High $190.55 | Professional | TC · Technical part | $91.20 | $109.65 | $190.55 |
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 $97.72 Median $97.72 Typical High $104.71 | Professional | FX · Film X-ray | $97.72 | $97.72 | $104.71 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $93.33 Median $97.72 Typical High $141.25 | Professional | 51 · Multiple procedures | $93.33 | $97.72 | $141.25 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $38.02 Median $38.90 Typical High $56.23 | Professional | 80 · Assistant surgeon | $38.02 | $38.90 | $56.23 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $26.30 Median $27.54 Typical High $39.81 | Professional | 81 · Minimal assistant surgeon | $26.30 | $27.54 | $39.81 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $26.30 Median $27.54 Typical High $39.81 | Professional | 82 · Assistant surgeon, no resident | $26.30 | $27.54 | $39.81 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $26.30 Median $27.54 Typical High $39.81 | Professional | AS · PA/NP assist | $26.30 | $27.54 | $39.81 |
Where South Carolina sits
The same service costs 4.3 times more in Alaska 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· 44th of 51
$145
AK $437UT $102
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.