How much rates vary
Facilitymedian $891 · 10th to 90th $240 to $1,413Professionalmedian $151 · 10th to 90th $87 to $251
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 $112.20 Median $112.20 Typical High $204.17 | Facility | None | $112.20 | $112.20 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $158.49 | Professional | None (both parts) | $112.20 | $112.20 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $93.33 | Professional | 26 · Professional part | $70.79 | $70.79 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $63.10 | Professional | TC · Technical part | $40.74 | $40.74 | $63.10 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 26 · Professional part | $87.10 | $87.10 | $87.10 |
BCBS South Carolina Setting Facility Modifier None Typical Low $478.63 Median $1,023.29 Typical High $1,412.54 | Facility | None | $478.63 | $1,023.29 | $1,412.54 |
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 $125.89 Median $223.87 Typical High $288.40 | Professional | None (both parts) | $125.89 | $223.87 | $288.40 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $112.20 Typical High $151.36 | Professional | 26 · Professional part | $79.43 | $112.20 | $151.36 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $114.82 Typical High $141.25 | Professional | TC · Technical part | $46.77 | $114.82 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $660.69 Typical High $1,202.26 | Facility | None | $316.23 | $660.69 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $186.21 Typical High $338.84 | Professional | None (both parts) | $147.91 | $186.21 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $107.15 Typical High $204.17 | Professional | 26 · Professional part | $81.28 | $107.15 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $69.18 Typical High $128.82 | Professional | TC · Technical part | $53.70 | $69.18 | $128.82 |
Medcost Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
Medcost Setting Facility Modifier None Typical Low $81.28 Median $151.36 Typical High $676.08 | Facility | None | $81.28 | $151.36 | $676.08 |
Medcost Setting Professional Modifier None (both parts) Typical Low $181.97 Median $204.17 Typical High $309.03 | Professional | None (both parts) | $181.97 | $204.17 | $309.03 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $141.25 Typical High $151.36 | Professional | 26 · Professional part | $125.89 | $141.25 | $151.36 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $102.33 Typical High $134.90 | Professional | TC · Technical part | $64.57 | $102.33 | $134.90 |
Molina Setting Professional Modifier None (both parts) Typical Low $77.62 Median $134.90 Typical High $229.09 | Professional | None (both parts) | $77.62 | $134.90 | $229.09 |
United Setting Facility Modifier None Typical Low $977.24 Median $1,202.26 Typical High $1,548.82 | Facility | None | $977.24 | $1,202.26 | $1,548.82 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $162.18 Typical High $281.84 | Professional | None (both parts) | $125.89 | $162.18 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $104.71 Typical High $165.96 | Professional | 26 · Professional part | $79.43 | $104.71 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $57.54 Typical High $104.71 | Professional | TC · Technical part | $46.77 | $57.54 | $104.71 |
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 $89.13 Median $89.13 Typical High $95.50 | Professional | FX · Film X-ray | $89.13 | $89.13 | $95.50 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $91.20 Median $109.65 Typical High $154.88 | Professional | 51 · Multiple procedures | $91.20 | $109.65 | $154.88 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $36.31 Median $43.65 Typical High $61.66 | Professional | 80 · Assistant surgeon | $36.31 | $43.65 | $61.66 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $25.12 Median $30.20 Typical High $42.66 | Professional | 81 · Minimal assistant surgeon | $25.12 | $30.20 | $42.66 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $25.12 Median $30.20 Typical High $42.66 | Professional | 82 · Assistant surgeon, no resident | $25.12 | $30.20 | $42.66 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $25.12 Median $30.20 Typical High $42.66 | Professional | AS · PA/NP assist | $25.12 | $30.20 | $42.66 |
Where South Carolina sits
The same service costs 4.2 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· 34th of 51
$162
AK $457FL $110
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.