How much rates vary
Facilitymedian $98 · 10th to 90th $89 to $309Professionalmedian $120 · 10th to 90th $65 to $214
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 $95.50 Median $117.49 Typical High $309.03 | Facility | None | $95.50 | $117.49 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $199.53 | Professional | None (both parts) | $95.50 | $95.50 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $43.65 | Professional | 26 · Professional part | $22.91 | $22.91 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $72.44 Typical High $154.88 | Professional | TC · Technical part | $64.57 | $72.44 | $154.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $91.20 Median $125.89 Typical High $208.93 | Professional | None (both parts) | $91.20 | $125.89 | $208.93 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.84 Typical High $47.86 | Professional | 26 · Professional part | $22.39 | $28.84 | $47.86 |
BCBS South Carolina Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $64.57 Median $112.20 Typical High $128.82 | Professional | None (both parts) | $64.57 | $112.20 | $128.82 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $72.44 Typical High $104.71 | Professional | 26 · Professional part | $26.30 | $72.44 | $104.71 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $85.11 Typical High $87.10 | Professional | TC · Technical part | $22.91 | $85.11 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $100.00 Typical High $194.98 | Professional | None (both parts) | $66.07 | $100.00 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.84 Typical High $48.98 | Professional | 26 · Professional part | $23.99 | $28.84 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $70.79 Typical High $147.91 | Professional | TC · Technical part | $41.69 | $70.79 | $147.91 |
Medcost Setting Facility Modifier None Typical Low $79.43 Median $97.72 Typical High $186.21 | Facility | None | $79.43 | $97.72 | $186.21 |
Medcost Setting Professional Modifier None (both parts) Typical Low $79.43 Median $114.82 Typical High $151.36 | Professional | None (both parts) | $79.43 | $114.82 | $151.36 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $41.69 Typical High $52.48 | Professional | 26 · Professional part | $38.02 | $41.69 | $52.48 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $72.44 Typical High $144.54 | Professional | TC · Technical part | $57.54 | $72.44 | $144.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $56.23 Median $144.54 Typical High $234.42 | Professional | None (both parts) | $56.23 | $144.54 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $107.15 Typical High $177.83 | Professional | None (both parts) | $70.79 | $107.15 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $30.20 Typical High $48.98 | Professional | 26 · Professional part | $24.55 | $30.20 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $74.13 Typical High $125.89 | Professional | TC · Technical part | $45.71 | $74.13 | $125.89 |
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 $75.86 Median $75.86 Typical High $81.28 | Professional | FX · Film X-ray | $75.86 | $75.86 | $81.28 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $112.20 Median $112.20 Typical High $125.89 | Professional | 59 · Distinct service | $112.20 | $112.20 | $125.89 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $39.81 Median $57.54 Typical High $93.33 | Professional | 51 · Multiple procedures | $39.81 | $57.54 | $93.33 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $15.85 Median $22.91 Typical High $39.81 | Professional | 80 · Assistant surgeon | $15.85 | $22.91 | $39.81 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $11.22 Median $15.85 Typical High $27.54 | Professional | 81 · Minimal assistant surgeon | $11.22 | $15.85 | $27.54 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $11.22 Median $15.85 Typical High $27.54 | Professional | 82 · Assistant surgeon, no resident | $11.22 | $15.85 | $27.54 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $11.22 Median $15.85 Typical High $27.54 | Professional | AS · PA/NP assist | $11.22 | $15.85 | $27.54 |
Where South Carolina sits
The same service costs 4.5 times more in Alaska 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· 27th of 51
$120
AK $355NY $79.43
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.