How much rates vary
Facilitymedian $1,000 · 10th to 90th $407 to $1,862Professionalmedian $447 · 10th to 90th $240 to $813
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 $380.19 Median $478.63 Typical High $724.44 | Facility | None | $380.19 | $478.63 | $724.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $707.95 | Professional | None (both parts) | $380.19 | $380.19 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $190.55 Typical High $309.03 | Professional | 26 · Professional part | $190.55 | $190.55 | $309.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $380.19 | Professional | TC · Technical part | $190.55 | $190.55 | $380.19 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $512.86 Median $588.84 Typical High $588.84 | Professional | None (both parts) | $512.86 | $588.84 | $588.84 |
BCBS South Carolina Setting Facility Modifier None Typical Low $416.87 Median $1,047.13 Typical High $1,862.09 | Facility | None | $416.87 | $1,047.13 | $1,862.09 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | TC · Technical part | $575.44 | $575.44 | $575.44 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $446.68 Median $549.54 Typical High $851.14 | Professional | None (both parts) | $446.68 | $549.54 | $851.14 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $263.03 Typical High $363.08 | Professional | 26 · Professional part | $218.78 | $263.03 | $363.08 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $281.84 Typical High $389.05 | Professional | TC · Technical part | $229.09 | $281.84 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $1,148.15 Typical High $1,949.84 | Facility | None | $977.24 | $1,148.15 | $1,949.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $575.44 Typical High $933.25 | Professional | None (both parts) | $489.78 | $575.44 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $269.15 Typical High $457.09 | Professional | 26 · Professional part | $239.88 | $269.15 | $457.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $302.00 Typical High $489.78 | Professional | TC · Technical part | $251.19 | $302.00 | $489.78 |
Medcost Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
Medcost Setting Facility Modifier None Typical Low $275.42 Median $512.86 Typical High $1,000.00 | Facility | None | $275.42 | $512.86 | $1,000.00 |
Medcost Setting Professional Modifier None (both parts) Typical Low $616.60 Median $660.69 Typical High $741.31 | Professional | None (both parts) | $616.60 | $660.69 | $741.31 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $316.23 Typical High $549.54 | Professional | 26 · Professional part | $316.23 | $316.23 | $549.54 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $338.84 Typical High $407.38 | Professional | TC · Technical part | $338.84 | $338.84 | $407.38 |
Molina Setting Professional Modifier None (both parts) Typical Low $229.09 Median $380.19 Typical High $794.33 | Professional | None (both parts) | $229.09 | $380.19 | $794.33 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,905.46 Typical High $2,511.89 | Facility | None | $1,584.89 | $1,905.46 | $2,511.89 |
United Setting Professional Modifier None (both parts) Typical Low $426.58 Median $575.44 Typical High $870.96 | Professional | None (both parts) | $426.58 | $575.44 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $269.15 Typical High $436.52 | Professional | 26 · Professional part | $208.93 | $269.15 | $436.52 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $295.12 Typical High $446.68 | Professional | TC · Technical part | $223.87 | $295.12 | $446.68 |
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 $302.00 Median $302.00 Typical High $354.81 | Professional | FX · Film X-ray | $302.00 | $302.00 | $354.81 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $316.23 Median $331.13 Typical High $446.68 | Professional | 51 · Multiple procedures | $316.23 | $331.13 | $446.68 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $128.82 Median $131.83 Typical High $162.18 | Professional | 80 · Assistant surgeon | $128.82 | $131.83 | $162.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $89.13 Median $93.33 Typical High $114.82 | Professional | 81 · Minimal assistant surgeon | $89.13 | $93.33 | $114.82 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $89.13 Median $93.33 Typical High $114.82 | Professional | 82 · Assistant surgeon, no resident | $89.13 | $93.33 | $114.82 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $89.13 Median $93.33 Typical High $114.82 | Professional | AS · PA/NP assist | $89.13 | $93.33 | $114.82 |
Where South Carolina sits
The same service costs 4.4 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· 45th of 51
$468
AK $1,622FL $372
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.