How much rates vary
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 $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $426.58 | Professional | None (both parts) | $331.13 | $331.13 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $48.98 | Professional | 26 · Professional part | $41.69 | $41.69 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $295.12 Typical High $371.54 | Professional | TC · Technical part | $295.12 | $295.12 | $371.54 |
BCBS South Carolina Setting Facility Modifier None Typical Low $549.54 Median $1,148.15 Typical High $1,621.81 | Facility | None | $549.54 | $1,148.15 | $1,621.81 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | TC · Technical part | $660.69 | $660.69 | $660.69 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $331.13 Median $338.84 Typical High $501.19 | Professional | None (both parts) | $331.13 | $338.84 | $501.19 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $120.23 Typical High $151.36 | Professional | 26 · Professional part | $46.77 | $120.23 | $151.36 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $354.81 | Professional | TC · Technical part | $213.80 | $213.80 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $1,445.44 Median $1,659.59 Typical High $2,884.03 | Facility | None | $1,445.44 | $1,659.59 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $501.19 Typical High $977.24 | Professional | None (both parts) | $467.74 | $501.19 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $58.88 Typical High $112.20 | Professional | 26 · Professional part | $54.95 | $58.88 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $446.68 Typical High $851.14 | Professional | TC · Technical part | $416.87 | $446.68 | $851.14 |
Medcost Setting Facility Modifier None Typical Low $331.13 Median $398.11 Typical High $1,071.52 | Facility | None | $331.13 | $398.11 | $1,071.52 |
Medcost Setting Professional Modifier None (both parts) Typical Low $457.09 Median $676.08 Typical High $691.83 | Professional | None (both parts) | $457.09 | $676.08 | $691.83 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $117.49 | Professional | 26 · Professional part | $79.43 | $79.43 | $117.49 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $602.56 Typical High $912.01 | Professional | TC · Technical part | $588.84 | $602.56 | $912.01 |
Molina Setting Professional Modifier None (both parts) Typical Low $54.95 Median $446.68 Typical High $676.08 | Professional | None (both parts) | $54.95 | $446.68 | $676.08 |
United Setting Facility Modifier None Typical Low $2,290.87 Median $2,754.23 Typical High $3,630.78 | Facility | None | $2,290.87 | $2,754.23 | $3,630.78 |
United Setting Professional Modifier None (both parts) Typical Low $398.11 Median $512.86 Typical High $851.14 | Professional | None (both parts) | $398.11 | $512.86 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $60.26 Typical High $104.71 | Professional | 26 · Professional part | $46.77 | $60.26 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $446.68 Typical High $758.58 | Professional | TC · Technical part | $354.81 | $446.68 | $758.58 |
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 $269.15 Median $269.15 Typical High $288.40 | Professional | FX · Film X-ray | $269.15 | $269.15 | $288.40 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $288.40 Median $338.84 Typical High $588.84 | Professional | 51 · Multiple procedures | $288.40 | $338.84 | $588.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $114.82 Median $134.90 Typical High $239.88 | Professional | 80 · Assistant surgeon | $114.82 | $134.90 | $239.88 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $81.28 Median $95.50 Typical High $165.96 | Professional | 81 · Minimal assistant surgeon | $81.28 | $95.50 | $165.96 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $81.28 Median $95.50 Typical High $165.96 | Professional | 82 · Assistant surgeon, no resident | $81.28 | $95.50 | $165.96 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $81.28 Median $95.50 Typical High $165.96 | Professional | AS · PA/NP assist | $81.28 | $95.50 | $165.96 |
Where South Carolina sits
The same service costs 3.7 times more in Alaska than in Utah. 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
$447
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.