How much rates vary
Facilitymedian $331 · 10th to 90th $145 to $550Professionalmedian $102 · 10th to 90th $66 to $162
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 $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $125.89 | Professional | None (both parts) | $72.44 | $72.44 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $44.67 | Professional | 26 · Professional part | $28.18 | $28.18 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $81.28 | Professional | TC · Technical part | $44.67 | $44.67 | $81.28 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $173.78 | $173.78 | $173.78 |
BCBS South Carolina Setting Facility Modifier None Typical Low $158.49 Median $331.13 Typical High $537.03 | Facility | None | $158.49 | $331.13 | $537.03 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | TC · Technical part | $218.78 | $218.78 | $218.78 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $85.11 Median $114.82 Typical High $151.36 | Professional | None (both parts) | $85.11 | $114.82 | $151.36 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $44.67 Typical High $57.54 | Professional | 26 · Professional part | $32.36 | $44.67 | $57.54 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $70.79 Typical High $89.13 | Professional | TC · Technical part | $52.48 | $70.79 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $331.13 Typical High $575.44 | Facility | None | $281.84 | $331.13 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $95.50 Typical High $173.78 | Professional | None (both parts) | $91.20 | $95.50 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $37.15 Typical High $66.07 | Professional | 26 · Professional part | $32.36 | $37.15 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $57.54 Typical High $109.65 | Professional | TC · Technical part | $56.23 | $57.54 | $109.65 |
Medcost Setting Facility Modifier None Typical Low $72.44 Median $107.15 Typical High $239.88 | Facility | None | $72.44 | $107.15 | $239.88 |
Medcost Setting Professional Modifier None (both parts) Typical Low $100.00 Median $138.04 Typical High $229.09 | Professional | None (both parts) | $100.00 | $138.04 | $229.09 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $56.23 Typical High $67.61 | Professional | 26 · Professional part | $48.98 | $56.23 | $67.61 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $89.13 Typical High $100.00 | Professional | TC · Technical part | $79.43 | $89.13 | $100.00 |
Molina Setting Professional Modifier None (both parts) Typical Low $50.12 Median $100.00 Typical High $165.96 | Professional | None (both parts) | $50.12 | $100.00 | $165.96 |
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 $77.62 Median $95.50 Typical High $165.96 | Professional | None (both parts) | $77.62 | $95.50 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $35.48 Typical High $63.10 | Professional | 26 · Professional part | $28.84 | $35.48 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $60.26 Typical High $102.33 | Professional | TC · Technical part | $47.86 | $60.26 | $102.33 |
7 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 $58.88 Median $58.88 Typical High $63.10 | Professional | FX · Film X-ray | $58.88 | $58.88 | $63.10 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $125.89 Median $154.88 Typical High $154.88 | Professional | 59 · Distinct service | $125.89 | $154.88 | $154.88 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $63.10 Median $79.43 Typical High $112.20 | Professional | 51 · Multiple procedures | $63.10 | $79.43 | $112.20 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $25.12 Median $31.62 Typical High $45.71 | Professional | 80 · Assistant surgeon | $25.12 | $31.62 | $45.71 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $17.78 Median $21.88 Typical High $31.62 | Professional | 81 · Minimal assistant surgeon | $17.78 | $21.88 | $31.62 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $17.78 Median $21.88 Typical High $31.62 | Professional | 82 · Assistant surgeon, no resident | $17.78 | $21.88 | $31.62 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $17.78 Median $21.88 Typical High $31.62 | Professional | AS · PA/NP assist | $17.78 | $21.88 | $31.62 |
Where South Carolina sits
The same service costs 3.7 times more in Alaska 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· 31st of 51
$105
AK $269TX $72.44
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.