How much rates vary
Facilitymedian $692 · 10th to 90th $275 to $1,349Professionalmedian $129 · 10th to 90th $66 to $363
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 $158.49 Median $275.42 Typical High $1,905.46 | Facility | None | $158.49 | $275.42 | $1,905.46 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $275.42 Typical High $323.59 | Professional | None (both parts) | $128.82 | $275.42 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $83.18 Typical High $93.33 | Professional | 26 · Professional part | $40.74 | $83.18 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $190.55 Typical High $229.09 | Professional | TC · Technical part | $81.28 | $190.55 | $229.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $100.00 Median $109.65 Typical High $186.21 | Professional | None (both parts) | $100.00 | $109.65 | $186.21 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.02 Typical High $70.79 | Professional | 26 · Professional part | $30.90 | $38.02 | $70.79 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $87.10 Typical High $112.20 | Professional | TC · Technical part | $61.66 | $87.10 | $112.20 |
BCBS South Carolina Setting Facility Modifier None Typical Low $389.05 Median $812.83 Typical High $1,348.96 | Facility | None | $389.05 | $812.83 | $1,348.96 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $316.23 Median $416.87 Typical High $416.87 | Facility | TC · Technical part | $316.23 | $416.87 | $416.87 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $100.00 Median $269.15 Typical High $389.05 | Professional | None (both parts) | $100.00 | $269.15 | $389.05 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $75.86 Typical High $97.72 | Professional | 26 · Professional part | $38.02 | $75.86 | $97.72 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $190.55 Typical High $295.12 | Professional | TC · Technical part | $61.66 | $190.55 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $416.87 Typical High $812.83 | Facility | None | $263.03 | $416.87 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $204.17 Typical High $331.13 | Professional | None (both parts) | $125.89 | $204.17 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $47.86 Typical High $93.33 | Professional | 26 · Professional part | $38.90 | $47.86 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $162.18 Typical High $245.47 | Professional | TC · Technical part | $81.28 | $162.18 | $245.47 |
Medcost Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Medcost Setting Facility Modifier None Typical Low $186.21 Median $275.42 Typical High $851.14 | Facility | None | $186.21 | $275.42 | $851.14 |
Medcost Setting Professional Modifier None (both parts) Typical Low $123.03 Median $346.74 Typical High $426.58 | Professional | None (both parts) | $123.03 | $346.74 | $426.58 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $72.44 Typical High $173.78 | Professional | 26 · Professional part | $61.66 | $72.44 | $173.78 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $204.17 Typical High $275.42 | Professional | TC · Technical part | $112.20 | $204.17 | $275.42 |
Molina Setting Professional Modifier None (both parts) Typical Low $51.29 Median $100.00 Typical High $169.82 | Professional | None (both parts) | $51.29 | $100.00 | $169.82 |
United Setting Facility Modifier None Typical Low $436.52 Median $537.03 Typical High $691.83 | Facility | None | $436.52 | $537.03 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $186.21 Typical High $331.13 | Professional | None (both parts) | $109.65 | $186.21 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $48.98 Typical High $87.10 | Professional | 26 · Professional part | $38.02 | $48.98 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $125.89 Typical High $263.03 | Professional | TC · Technical part | $66.07 | $125.89 | $263.03 |
9 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 52 · Reduced service Typical Low $53.70 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $53.70 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $21.38 | $54.95 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $102.33 Median $234.42 Typical High $234.42 | Professional | CT · Older CT scanner | $102.33 | $234.42 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $95.50 | $218.78 | $218.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $77.62 Median $173.78 Typical High $213.80 | Professional | 51 · Multiple procedures | $77.62 | $173.78 | $213.80 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $30.90 Median $69.18 Typical High $85.11 | Professional | 80 · Assistant surgeon | $30.90 | $69.18 | $85.11 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $21.88 Median $48.98 Typical High $58.88 | Professional | 81 · Minimal assistant surgeon | $21.88 | $48.98 | $58.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $21.88 Median $48.98 Typical High $58.88 | Professional | 82 · Assistant surgeon, no resident | $21.88 | $48.98 | $58.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $21.88 Median $48.98 Typical High $58.88 | Professional | AS · PA/NP assist | $21.88 | $48.98 | $58.88 |
Where South Carolina sits
The same service costs 20.4 times more in Vermont 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· 38th of 51
$141
VT $1,585UT $77.62
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.