How much rates vary
Facilitymedian $1,585 · 10th to 90th $589 to $2,344Professionalmedian $355 · 10th to 90th $126 to $617
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 $354.81 Median $1,949.84 Typical High $3,311.31 | Facility | None | $354.81 | $1,949.84 | $3,311.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $354.81 Typical High $446.68 | Professional | None (both parts) | $316.23 | $354.81 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $112.20 | Professional | 26 · Professional part | $79.43 | $93.33 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $263.03 Typical High $338.84 | Professional | TC · Technical part | $234.42 | $263.03 | $338.84 |
BCBS South Carolina Setting Facility Modifier None Typical Low $758.58 Median $1,737.80 Typical High $2,344.23 | Facility | None | $758.58 | $1,737.80 | $2,344.23 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | TC · Technical part | $1,071.52 | $1,071.52 | $1,071.52 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $295.12 Median $457.09 Typical High $602.56 | Professional | None (both parts) | $295.12 | $457.09 | $602.56 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $154.88 Typical High $204.17 | Professional | 26 · Professional part | $72.44 | $154.88 | $204.17 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $302.00 Typical High $446.68 | Professional | TC · Technical part | $223.87 | $302.00 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,230.27 Typical High $1,479.11 | Facility | None | $954.99 | $1,230.27 | $1,479.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $501.19 Typical High $870.96 | Professional | None (both parts) | $389.05 | $501.19 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $85.11 Typical High $162.18 | Professional | 26 · Professional part | $72.44 | $85.11 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $426.58 Typical High $676.08 | Professional | TC · Technical part | $302.00 | $426.58 | $676.08 |
Medcost Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Medcost Setting Facility Modifier None Typical Low $186.21 Median $398.11 Typical High $588.84 | Facility | None | $186.21 | $398.11 | $588.84 |
Medcost Setting Professional Modifier None (both parts) Typical Low $346.74 Median $616.60 Typical High $954.99 | Professional | None (both parts) | $346.74 | $616.60 | $954.99 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $114.82 Typical High $186.21 | Professional | 26 · Professional part | $95.50 | $114.82 | $186.21 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $416.87 Typical High $794.33 | Professional | TC · Technical part | $371.54 | $416.87 | $794.33 |
Molina Setting Professional Modifier None (both parts) Typical Low $114.82 Median $288.40 Typical High $524.81 | Professional | None (both parts) | $114.82 | $288.40 | $524.81 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,202.26 Typical High $1,584.89 | Facility | None | $1,000.00 | $1,202.26 | $1,584.89 |
United Setting Professional Modifier None (both parts) Typical Low $346.74 Median $501.19 Typical High $870.96 | Professional | None (both parts) | $346.74 | $501.19 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $91.20 Typical High $162.18 | Professional | 26 · Professional part | $70.79 | $91.20 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $426.58 Typical High $724.44 | Professional | TC · Technical part | $269.15 | $426.58 | $724.44 |
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 $288.40 Median $288.40 Typical High $338.84 | Professional | FX · Film X-ray | $288.40 | $288.40 | $338.84 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $213.80 Median $309.03 Typical High $478.63 | Professional | 51 · Multiple procedures | $213.80 | $309.03 | $478.63 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $85.11 Median $125.89 Typical High $190.55 | Professional | 80 · Assistant surgeon | $85.11 | $125.89 | $190.55 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $60.26 Median $87.10 Typical High $134.90 | Professional | 81 · Minimal assistant surgeon | $60.26 | $87.10 | $134.90 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $60.26 Median $87.10 Typical High $134.90 | Professional | 82 · Assistant surgeon, no resident | $60.26 | $87.10 | $134.90 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $60.26 Median $87.10 Typical High $134.90 | Professional | AS · PA/NP assist | $60.26 | $87.10 | $134.90 |
Where South Carolina sits
The same service costs 5.6 times more in Wyoming 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· 42nd of 51
$363
WY $1,259TX $224
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.