How much rates vary
Facilitymedian $692 · 10th to 90th $275 to $1,380Professionalmedian $174 · 10th to 90th $95 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 $190.55 Median $275.42 Typical High $2,041.74 | Facility | None | $190.55 | $275.42 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $275.42 Typical High $338.84 | Professional | None (both parts) | $154.88 | $275.42 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $83.18 Typical High $95.50 | Professional | 26 · Professional part | $45.71 | $83.18 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $190.55 Typical High $245.47 | Professional | TC · Technical part | $107.15 | $190.55 | $245.47 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $120.23 Median $131.83 Typical High $223.87 | Professional | None (both parts) | $120.23 | $131.83 | $223.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.90 Typical High $70.79 | Professional | 26 · Professional part | $30.90 | $38.90 | $70.79 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $81.28 Typical High $114.82 | Professional | TC · Technical part | $69.18 | $81.28 | $114.82 |
BCBS South Carolina Setting Facility Modifier None Typical Low $380.19 Median $812.83 Typical High $1,318.26 | Facility | None | $380.19 | $812.83 | $1,318.26 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | TC · Technical part | $363.08 | $363.08 | $363.08 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $120.23 Median $281.84 Typical High $398.11 | Professional | None (both parts) | $120.23 | $281.84 | $398.11 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $100.00 Typical High $131.83 | Professional | 26 · Professional part | $38.90 | $100.00 | $131.83 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $181.97 Typical High $251.19 | Professional | TC · Technical part | $81.28 | $181.97 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $537.03 Typical High $707.95 | Facility | None | $346.74 | $537.03 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $245.47 Typical High $398.11 | Professional | None (both parts) | $158.49 | $245.47 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $60.26 Typical High $104.71 | Professional | 26 · Professional part | $47.86 | $60.26 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $194.98 Typical High $263.03 | Professional | TC · Technical part | $107.15 | $194.98 | $263.03 |
Medcost Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
Medcost Setting Facility Modifier None Typical Low $199.53 Median $275.42 Typical High $851.14 | Facility | None | $199.53 | $275.42 | $851.14 |
Medcost Setting Professional Modifier None (both parts) Typical Low $151.36 Median $346.74 Typical High $389.05 | Professional | None (both parts) | $151.36 | $346.74 | $389.05 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $95.50 Typical High $131.83 | Professional | 26 · Professional part | $69.18 | $95.50 | $131.83 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $263.03 Typical High $295.12 | Professional | TC · Technical part | $147.91 | $263.03 | $295.12 |
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 $131.83 Median $223.87 Typical High $398.11 | Professional | None (both parts) | $131.83 | $223.87 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $57.54 Typical High $100.00 | Professional | 26 · Professional part | $41.69 | $57.54 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $158.49 Typical High $309.03 | Professional | TC · Technical part | $89.13 | $158.49 | $309.03 |
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 $64.57 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $64.57 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $25.70 | $54.95 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $123.03 Median $234.42 Typical High $234.42 | Professional | CT · Older CT scanner | $123.03 | $234.42 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $114.82 | $218.78 | $218.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $93.33 Median $177.83 Typical High $194.98 | Professional | 51 · Multiple procedures | $93.33 | $177.83 | $194.98 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $37.15 Median $70.79 Typical High $77.62 | Professional | 80 · Assistant surgeon | $37.15 | $70.79 | $77.62 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $26.30 Median $48.98 Typical High $54.95 | Professional | 81 · Minimal assistant surgeon | $26.30 | $48.98 | $54.95 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $26.30 Median $48.98 Typical High $54.95 | Professional | 82 · Assistant surgeon, no resident | $26.30 | $48.98 | $54.95 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $26.30 Median $48.98 Typical High $54.95 | Professional | AS · PA/NP assist | $26.30 | $48.98 | $54.95 |
Where South Carolina sits
The same service costs 4.9 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· 34th of 51
$186
AK $513UT $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.