How much rates vary
Facilitymedian $288 · 10th to 90th $58 to $490Professionalmedian $54 · 10th to 90th $32 to $182
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 $30.90 Median $38.90 Typical High $109.65 | Facility | None | $30.90 | $38.90 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $31.62 Typical High $107.15 | Professional | None (both parts) | $30.90 | $31.62 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.51 Typical High $15.14 | Professional | 26 · Professional part | $7.94 | $8.51 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $23.44 Typical High $91.20 | Professional | TC · Technical part | $22.91 | $23.44 | $91.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $37.15 Median $40.74 Typical High $67.61 | Professional | None (both parts) | $37.15 | $40.74 | $67.61 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $10.00 Typical High $16.60 | Professional | 26 · Professional part | $7.24 | $10.00 | $16.60 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $38.90 Typical High $38.90 | Professional | TC · Technical part | $22.39 | $38.90 | $38.90 |
BCBS South Carolina Setting Facility Modifier None Typical Low $158.49 Median $346.74 Typical High $501.19 | Facility | None | $158.49 | $346.74 | $501.19 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | TC · Technical part | $223.87 | $223.87 | $223.87 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $37.15 Median $154.88 Typical High $199.53 | Professional | None (both parts) | $37.15 | $154.88 | $199.53 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $20.89 Typical High $23.99 | Professional | 26 · Professional part | $9.12 | $20.89 | $23.99 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $134.90 Typical High $165.96 | Professional | TC · Technical part | $27.54 | $134.90 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $281.84 Typical High $562.34 | Facility | None | $181.97 | $281.84 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $83.18 Typical High $138.04 | Professional | None (both parts) | $41.69 | $83.18 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.48 Typical High $21.88 | Professional | 26 · Professional part | $9.77 | $11.48 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $74.13 Typical High $117.49 | Professional | TC · Technical part | $30.90 | $74.13 | $117.49 |
Medcost Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
Medcost Setting Facility Modifier None Typical Low $30.90 Median $54.95 Typical High $144.54 | Facility | None | $30.90 | $54.95 | $144.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $42.66 Median $165.96 Typical High $186.21 | Professional | None (both parts) | $42.66 | $165.96 | $186.21 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.98 Typical High $60.26 | Professional | 26 · Professional part | $14.13 | $16.98 | $60.26 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $107.15 Typical High $107.15 | Professional | TC · Technical part | $45.71 | $107.15 | $107.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $32.36 Median $43.65 Typical High $61.66 | Professional | None (both parts) | $32.36 | $43.65 | $61.66 |
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 $37.15 Median $61.66 Typical High $151.36 | Professional | None (both parts) | $37.15 | $61.66 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $11.22 Typical High $19.95 | Professional | 26 · Professional part | $7.76 | $11.22 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $45.71 Typical High $125.89 | Professional | TC · Technical part | $26.92 | $45.71 | $125.89 |
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 $24.55 Median $24.55 Typical High $25.70 | Professional | FX · Film X-ray | $24.55 | $24.55 | $25.70 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $26.92 Median $83.18 Typical High $93.33 | Professional | 51 · Multiple procedures | $26.92 | $83.18 | $93.33 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $10.72 Median $27.54 Typical High $37.15 | Professional | 80 · Assistant surgeon | $10.72 | $27.54 | $37.15 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.41 Median $19.05 Typical High $25.70 | Professional | 81 · Minimal assistant surgeon | $7.41 | $19.05 | $25.70 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.41 Median $19.05 Typical High $25.70 | Professional | 82 · Assistant surgeon, no resident | $7.41 | $19.05 | $25.70 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $7.41 Median $19.05 Typical High $25.70 | Professional | AS · PA/NP assist | $7.41 | $19.05 | $25.70 |
Where South Carolina sits
The same service costs 4.2 times more in Vermont than in Florida. 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· 24th of 51
$57.54
VT $135FL $32.36
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.