How much rates vary
Facilitymedian $224 · 10th to 90th $81 to $407Professionalmedian $49 · 10th to 90th $32 to $105
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 $35.48 Median $35.48 Typical High $97.72 | Facility | None | $35.48 | $35.48 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $35.48 Typical High $83.18 | Professional | None (both parts) | $33.88 | $35.48 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $28.18 Typical High $42.66 | Professional | 26 · Professional part | $19.95 | $28.18 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $7.41 Median $7.41 Typical High $40.74 | Professional | TC · Technical part | $7.41 | $7.41 | $40.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $60.26 Median $67.61 Typical High $112.20 | Professional | None (both parts) | $60.26 | $67.61 | $112.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $33.88 Typical High $57.54 | Professional | 26 · Professional part | $25.12 | $33.88 | $57.54 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $29.51 Typical High $41.69 | Professional | TC · Technical part | $23.99 | $29.51 | $41.69 |
BCBS South Carolina Setting Facility Modifier None Typical Low $128.82 Median $245.47 Typical High $407.38 | Facility | None | $128.82 | $245.47 | $407.38 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | TC · Technical part | $131.83 | $131.83 | $131.83 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $26.92 Median $39.81 Typical High $60.26 | Professional | None (both parts) | $26.92 | $39.81 | $60.26 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $26.30 Typical High $30.90 | Professional | 26 · Professional part | $16.98 | $26.30 | $30.90 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $10.00 Median $13.49 Typical High $29.51 | Professional | TC · Technical part | $10.00 | $13.49 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $281.84 Typical High $562.34 | Facility | None | $147.91 | $281.84 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $37.15 Typical High $93.33 | Professional | None (both parts) | $31.62 | $37.15 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.12 Typical High $52.48 | Professional | 26 · Professional part | $21.38 | $25.12 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.00 Median $11.48 Typical High $43.65 | Professional | TC · Technical part | $10.00 | $11.48 | $43.65 |
Medcost Setting Facility Modifier None Typical Low $35.48 Median $38.90 Typical High $169.82 | Facility | None | $35.48 | $38.90 | $169.82 |
Medcost Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $83.18 | Professional | None (both parts) | $43.65 | $43.65 | $83.18 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $30.20 Typical High $56.23 | Professional | 26 · Professional part | $28.84 | $30.20 | $56.23 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $14.45 Typical High $48.98 | Professional | TC · Technical part | $14.45 | $14.45 | $48.98 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $58.88 Typical High $112.20 | Professional | None (both parts) | $33.88 | $58.88 | $112.20 |
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 $28.84 Median $51.29 Typical High $95.50 | Professional | None (both parts) | $28.84 | $51.29 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $25.12 Typical High $47.86 | Professional | 26 · Professional part | $19.50 | $25.12 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $9.33 Median $25.12 Typical High $50.12 | Professional | TC · Technical part | $9.33 | $25.12 | $50.12 |
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 $28.18 Median $28.18 Typical High $38.90 | Professional | FX · Film X-ray | $28.18 | $28.18 | $38.90 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $67.61 Median $67.61 Typical High $75.86 | Professional | 59 · Distinct service | $67.61 | $67.61 | $75.86 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $21.38 Median $21.38 Typical High $52.48 | Professional | 51 · Multiple procedures | $21.38 | $21.38 | $52.48 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.71 Median $8.71 Typical High $20.89 | Professional | 80 · Assistant surgeon | $8.71 | $8.71 | $20.89 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.03 Median $6.03 Typical High $14.45 | Professional | 81 · Minimal assistant surgeon | $6.03 | $6.03 | $14.45 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.03 Median $6.03 Typical High $14.45 | Professional | 82 · Assistant surgeon, no resident | $6.03 | $6.03 | $14.45 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.03 Median $6.03 Typical High $14.45 | Professional | AS · PA/NP assist | $6.03 | $6.03 | $14.45 |
Where South Carolina sits
The same service costs 5.1 times more in Alaska than in Kentucky. 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· 41st of 51
$52.48
AK $174KY $33.88
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.