How much rates vary
Facilitymedian $427 · 10th to 90th $275 to $2,630Professionalmedian $468 · 10th to 90th $186 to $776
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 $275.42 Median $1,230.27 Typical High $2,630.27 | Facility | None | $275.42 | $1,230.27 | $2,630.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $489.78 | Professional | None (both parts) | $275.42 | $275.42 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $194.98 | Professional | 26 · Professional part | $83.18 | $83.18 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $302.00 | Professional | TC · Technical part | $190.55 | $190.55 | $302.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 26 · Professional part | $173.78 | $173.78 | $173.78 |
BCBS South Carolina Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $467.74 Median $562.34 Typical High $831.76 | Professional | None (both parts) | $467.74 | $562.34 | $831.76 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $234.42 Typical High $346.74 | Professional | 26 · Professional part | $173.78 | $234.42 | $346.74 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $323.59 Typical High $489.78 | Professional | TC · Technical part | $295.12 | $323.59 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $575.44 Typical High $912.01 | Professional | None (both parts) | $512.86 | $575.44 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $208.93 Typical High $346.74 | Professional | 26 · Professional part | $181.97 | $208.93 | $346.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $354.81 Typical High $575.44 | Professional | TC · Technical part | $331.13 | $354.81 | $575.44 |
Medcost Setting Facility Modifier None Typical Low $275.42 Median $371.54 Typical High $891.25 | Facility | None | $275.42 | $371.54 | $891.25 |
Medcost Setting Professional Modifier None (both parts) Typical Low $501.19 Median $776.25 Typical High $851.14 | Professional | None (both parts) | $501.19 | $776.25 | $851.14 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $251.19 Typical High $426.58 | Professional | 26 · Professional part | $208.93 | $251.19 | $426.58 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $512.86 Typical High $707.95 | Professional | TC · Technical part | $371.54 | $512.86 | $707.95 |
Molina Setting Professional Modifier None (both parts) Typical Low $165.96 Median $223.87 Typical High $323.59 | Professional | None (both parts) | $165.96 | $223.87 | $323.59 |
United Setting Professional Modifier None (both parts) Typical Low $446.68 Median $575.44 Typical High $977.24 | Professional | None (both parts) | $446.68 | $575.44 | $977.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $213.80 Typical High $346.74 | Professional | 26 · Professional part | $173.78 | $213.80 | $346.74 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $380.19 Typical High $645.65 | Professional | TC · Technical part | $275.42 | $380.19 | $645.65 |
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 $218.78 Median $218.78 Typical High $389.05 | Professional | FX · Film X-ray | $218.78 | $218.78 | $389.05 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $251.19 Median $398.11 Typical High $446.68 | Professional | 51 · Multiple procedures | $251.19 | $398.11 | $446.68 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $100.00 Median $154.88 Typical High $177.83 | Professional | 80 · Assistant surgeon | $100.00 | $154.88 | $177.83 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $70.79 Median $109.65 Typical High $123.03 | Professional | 81 · Minimal assistant surgeon | $70.79 | $109.65 | $123.03 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $70.79 Median $109.65 Typical High $123.03 | Professional | 82 · Assistant surgeon, no resident | $70.79 | $109.65 | $123.03 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $70.79 Median $109.65 Typical High $123.03 | Professional | AS · PA/NP assist | $70.79 | $109.65 | $123.03 |
Where South Carolina sits
The same service costs 5.6 times more in Alaska than in Alabama. 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· 46th of 51
$468
AK $1,950AL $347
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.