How much rates vary
Facilitymedian $138 · 10th to 90th $63 to $257Professionalmedian $42 · 10th to 90th $27 to $62
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 $25.70 Median $25.70 Typical High $85.11 | Facility | None | $25.70 | $25.70 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $25.70 Typical High $38.90 | Professional | None (both parts) | $25.70 | $25.70 | $38.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.32 Typical High $11.75 | Professional | 26 · Professional part | $8.32 | $8.32 | $11.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $17.38 Typical High $28.18 | Professional | TC · Technical part | $17.38 | $17.38 | $28.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 26 · Professional part | $9.12 | $9.12 | $9.12 |
BCBS South Carolina Setting Facility Modifier None Typical Low $75.86 Median $138.04 Typical High $213.80 | Facility | None | $75.86 | $138.04 | $213.80 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | TC · Technical part | $72.44 | $72.44 | $72.44 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $29.51 Median $41.69 Typical High $61.66 | Professional | None (both parts) | $29.51 | $41.69 | $61.66 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $12.59 Typical High $18.62 | Professional | 26 · Professional part | $9.12 | $12.59 | $18.62 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $29.51 Typical High $40.74 | Professional | TC · Technical part | $20.42 | $29.51 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $234.42 Typical High $467.74 | Facility | None | $123.03 | $234.42 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $33.11 Typical High $74.13 | Professional | None (both parts) | $30.20 | $33.11 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.75 Typical High $22.39 | Professional | 26 · Professional part | $9.77 | $11.75 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $22.39 Typical High $47.86 | Professional | TC · Technical part | $18.62 | $22.39 | $47.86 |
Medcost Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
Medcost Setting Facility Modifier None Typical Low $25.70 Median $31.62 Typical High $85.11 | Facility | None | $25.70 | $31.62 | $85.11 |
Medcost Setting Professional Modifier None (both parts) Typical Low $35.48 Median $51.29 Typical High $61.66 | Professional | None (both parts) | $35.48 | $51.29 | $61.66 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $17.78 Typical High $23.99 | Professional | 26 · Professional part | $15.14 | $17.78 | $23.99 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $37.15 Typical High $44.67 | Professional | TC · Technical part | $22.91 | $37.15 | $44.67 |
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 $363.08 Median $446.68 Typical High $575.44 | Facility | None | $363.08 | $446.68 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $23.99 Median $36.31 Typical High $64.57 | Professional | None (both parts) | $23.99 | $36.31 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $11.48 Typical High $20.89 | Professional | 26 · Professional part | $8.13 | $11.48 | $20.89 |
United Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $24.55 Typical High $43.65 | Professional | TC · Technical part | $15.49 | $24.55 | $43.65 |
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 $20.42 Median $20.42 Typical High $21.38 | Professional | FX · Film X-ray | $20.42 | $20.42 | $21.38 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $18.62 Median $27.54 Typical High $31.62 | Professional | 51 · Multiple procedures | $18.62 | $27.54 | $31.62 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.41 Median $10.96 Typical High $12.88 | Professional | 80 · Assistant surgeon | $7.41 | $10.96 | $12.88 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.25 Median $7.59 Typical High $9.12 | Professional | 81 · Minimal assistant surgeon | $5.25 | $7.59 | $9.12 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.25 Median $7.59 Typical High $9.12 | Professional | 82 · Assistant surgeon, no resident | $5.25 | $7.59 | $9.12 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.25 Median $7.59 Typical High $9.12 | Professional | AS · PA/NP assist | $5.25 | $7.59 | $9.12 |
Where South Carolina sits
The same service costs 3.8 times more in Alaska 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· 20th of 51
$41.69
AK $93.33FL $24.55
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.