How much rates vary
Facilitymedian $275 · 10th to 90th $129 to $501Professionalmedian $155 · 10th to 90th $98 to $275
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 $128.82 Median $162.18 Typical High $234.42 | Facility | None | $128.82 | $162.18 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $218.78 | Professional | None (both parts) | $128.82 | $128.82 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $63.10 | Professional | 26 · Professional part | $39.81 | $39.81 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $158.49 | Professional | TC · Technical part | $89.13 | $89.13 | $158.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $162.18 | Professional | None (both parts) | $147.91 | $147.91 | $162.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $50.12 Typical High $83.18 | Professional | 26 · Professional part | $36.31 | $50.12 | $83.18 |
BCBS South Carolina Setting Facility Modifier None Typical Low $128.82 Median $275.42 Typical High $407.38 | Facility | None | $128.82 | $275.42 | $407.38 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $107.15 Median $141.25 Typical High $173.78 | Professional | None (both parts) | $107.15 | $141.25 | $173.78 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $45.71 Typical High $57.54 | Professional | 26 · Professional part | $34.67 | $45.71 | $57.54 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $95.50 Typical High $120.23 | Professional | TC · Technical part | $72.44 | $95.50 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $436.52 Typical High $691.83 | Facility | None | $288.40 | $436.52 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $181.97 Typical High $331.13 | Professional | None (both parts) | $165.96 | $181.97 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $54.95 Typical High $97.72 | Professional | 26 · Professional part | $50.12 | $54.95 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $125.89 Typical High $229.09 | Professional | TC · Technical part | $114.82 | $125.89 | $229.09 |
Medcost Setting Facility Modifier None Typical Low $128.82 Median $154.88 Typical High $426.58 | Facility | None | $128.82 | $154.88 | $426.58 |
Medcost Setting Professional Modifier None (both parts) Typical Low $177.83 Median $239.88 Typical High $295.12 | Professional | None (both parts) | $177.83 | $239.88 | $295.12 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $112.20 | Professional | 26 · Professional part | $70.79 | $70.79 | $112.20 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $251.19 | Professional | TC · Technical part | $165.96 | $165.96 | $251.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $54.95 Median $162.18 Typical High $281.84 | Professional | None (both parts) | $54.95 | $162.18 | $281.84 |
United Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $123.03 | Facility | None | $109.65 | $109.65 | $123.03 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $194.98 Typical High $331.13 | Professional | None (both parts) | $154.88 | $194.98 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $58.88 Typical High $102.33 | Professional | 26 · Professional part | $44.67 | $58.88 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $131.83 Typical High $229.09 | Professional | TC · Technical part | $107.15 | $131.83 | $229.09 |
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 $102.33 Median $102.33 Typical High $112.20 | Professional | FX · Film X-ray | $102.33 | $102.33 | $112.20 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $112.20 Median $120.23 Typical High $234.42 | Professional | 51 · Multiple procedures | $112.20 | $120.23 | $234.42 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $44.67 Median $47.86 Typical High $93.33 | Professional | 80 · Assistant surgeon | $44.67 | $47.86 | $93.33 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $30.90 Median $33.11 Typical High $66.07 | Professional | 81 · Minimal assistant surgeon | $30.90 | $33.11 | $66.07 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $30.90 Median $33.11 Typical High $66.07 | Professional | 82 · Assistant surgeon, no resident | $30.90 | $33.11 | $66.07 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $30.90 Median $33.11 Typical High $66.07 | Professional | AS · PA/NP assist | $30.90 | $33.11 | $66.07 |
Where South Carolina sits
The same service costs 4.0 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· 46th of 51
$158
AK $479TX $120
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.