How much rates vary
Facilitymedian $741 · 10th to 90th $275 to $1,288Professionalmedian $191 · 10th to 90th $95 to $417
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 $234.42 Median $275.42 Typical High $2,041.74 | Facility | None | $234.42 | $275.42 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $275.42 Typical High $302.00 | Professional | None (both parts) | $181.97 | $275.42 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $83.18 Typical High $85.11 | Professional | 26 · Professional part | $60.26 | $83.18 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $190.55 Typical High $218.78 | Professional | TC · Technical part | $117.49 | $190.55 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $147.91 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $147.91 | $165.96 | $165.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $57.54 Typical High $107.15 | Professional | 26 · Professional part | $45.71 | $57.54 | $107.15 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $131.83 | Professional | TC · Technical part | $128.82 | $128.82 | $131.83 |
BCBS South Carolina Setting Facility Modifier None Typical Low $389.05 Median $812.83 Typical High $1,258.93 | Facility | None | $389.05 | $812.83 | $1,258.93 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | TC · Technical part | $446.68 | $446.68 | $446.68 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $147.91 Median $295.12 Typical High $416.87 | Professional | None (both parts) | $147.91 | $295.12 | $416.87 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $102.33 Typical High $131.83 | Professional | 26 · Professional part | $57.54 | $102.33 | $131.83 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $194.98 Typical High $288.40 | Professional | TC · Technical part | $91.20 | $194.98 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $537.03 Typical High $1,819.70 | Facility | None | $389.05 | $537.03 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $281.84 Typical High $478.63 | Professional | None (both parts) | $229.09 | $281.84 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $72.44 Typical High $128.82 | Professional | 26 · Professional part | $58.88 | $72.44 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $223.87 Typical High $323.59 | Professional | TC · Technical part | $144.54 | $223.87 | $323.59 |
Medcost Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
Medcost Setting Facility Modifier None Typical Low $204.17 Median $295.12 Typical High $851.14 | Facility | None | $204.17 | $295.12 | $851.14 |
Medcost Setting Professional Modifier None (both parts) Typical Low $186.21 Median $354.81 Typical High $407.38 | Professional | None (both parts) | $186.21 | $354.81 | $407.38 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $107.15 Typical High $158.49 | Professional | 26 · Professional part | $91.20 | $107.15 | $158.49 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $269.15 Typical High $371.54 | Professional | TC · Technical part | $165.96 | $269.15 | $371.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $51.29 Median $141.25 Typical High $229.09 | Professional | None (both parts) | $51.29 | $141.25 | $229.09 |
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 $186.21 Median $269.15 Typical High $478.63 | Professional | None (both parts) | $186.21 | $269.15 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $74.13 Typical High $131.83 | Professional | 26 · Professional part | $58.88 | $74.13 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $194.98 Typical High $371.54 | Professional | TC · Technical part | $125.89 | $194.98 | $371.54 |
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 $81.28 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $81.28 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $32.36 | $54.95 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $151.36 Median $234.42 Typical High $234.42 | Professional | CT · Older CT scanner | $151.36 | $234.42 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $141.25 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $141.25 | $218.78 | $218.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $117.49 Median $177.83 Typical High $213.80 | Professional | 51 · Multiple procedures | $117.49 | $177.83 | $213.80 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $46.77 Median $70.79 Typical High $87.10 | Professional | 80 · Assistant surgeon | $46.77 | $70.79 | $87.10 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $32.36 Median $50.12 Typical High $60.26 | Professional | 81 · Minimal assistant surgeon | $32.36 | $50.12 | $60.26 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $32.36 Median $50.12 Typical High $60.26 | Professional | 82 · Assistant surgeon, no resident | $32.36 | $50.12 | $60.26 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $32.36 Median $50.12 Typical High $60.26 | Professional | AS · PA/NP assist | $32.36 | $50.12 | $60.26 |
Where South Carolina sits
The same service costs 6.2 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· 41st of 51
$204
AK $646UT $105
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.