How much rates vary
Facilitymedian $302 · 10th to 90th $138 to $417Professionalmedian $178 · 10th to 90th $105 to $309
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 $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $239.88 | Professional | None (both parts) | $158.49 | $158.49 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $114.82 | Professional | 26 · Professional part | $72.44 | $72.44 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $87.10 Typical High $131.83 | Professional | TC · Technical part | $72.44 | $87.10 | $131.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $338.84 | $338.84 | $338.84 |
BCBS South Carolina Setting Facility Modifier None Typical Low $138.04 Median $309.03 Typical High $416.87 | Facility | None | $138.04 | $309.03 | $416.87 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $70.79 Median $177.83 Typical High $218.78 | Professional | None (both parts) | $70.79 | $177.83 | $218.78 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $83.18 Typical High $104.71 | Professional | 26 · Professional part | $70.79 | $83.18 | $104.71 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $89.13 Typical High $117.49 | Professional | TC · Technical part | $70.79 | $89.13 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $199.53 Typical High $371.54 | Professional | None (both parts) | $165.96 | $199.53 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $93.33 Typical High $165.96 | Professional | 26 · Professional part | $81.28 | $93.33 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $97.72 Typical High $204.17 | Professional | TC · Technical part | $64.57 | $97.72 | $204.17 |
Medcost Setting Facility Modifier None Typical Low $131.83 Median $208.93 Typical High $512.86 | Facility | None | $131.83 | $208.93 | $512.86 |
Medcost Setting Professional Modifier None (both parts) Typical Low $199.53 Median $223.87 Typical High $257.04 | Professional | None (both parts) | $199.53 | $223.87 | $257.04 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $144.54 Typical High $154.88 | Professional | 26 · Professional part | $125.89 | $144.54 | $154.88 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $85.11 Typical High $186.21 | Professional | TC · Technical part | $81.28 | $85.11 | $186.21 |
Molina Setting Professional Modifier None (both parts) Typical Low $100.00 Median $162.18 Typical High $316.23 | Professional | None (both parts) | $100.00 | $162.18 | $316.23 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $194.98 Typical High $346.74 | Professional | None (both parts) | $154.88 | $194.98 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $91.20 Typical High $158.49 | Professional | 26 · Professional part | $74.13 | $91.20 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $102.33 Typical High $194.98 | Professional | TC · Technical part | $75.86 | $102.33 | $194.98 |
8 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 52 · Reduced service Typical Low $79.43 Median $79.43 Typical High $85.11 | Professional | 52 · Reduced service | $79.43 | $79.43 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $33.88 | Professional | 53 · Discontinued | $31.62 | $31.62 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $125.89 Median $125.89 Typical High $134.90 | Professional | FX · Film X-ray | $125.89 | $125.89 | $134.90 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $104.71 Median $112.20 Typical High $169.82 | Professional | 51 · Multiple procedures | $104.71 | $112.20 | $169.82 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $41.69 Median $44.67 Typical High $67.61 | Professional | 80 · Assistant surgeon | $41.69 | $44.67 | $67.61 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $29.51 Median $30.90 Typical High $47.86 | Professional | 81 · Minimal assistant surgeon | $29.51 | $30.90 | $47.86 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $29.51 Median $30.90 Typical High $47.86 | Professional | 82 · Assistant surgeon, no resident | $29.51 | $30.90 | $47.86 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $29.51 Median $30.90 Typical High $47.86 | Professional | AS · PA/NP assist | $29.51 | $30.90 | $47.86 |
Where South Carolina sits
The same service costs 5.8 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· 45th of 51
$178
AK $589UT $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.