How much rates vary
Facilitymedian $933 · 10th to 90th $302 to $1,820Professionalmedian $182 · 10th to 90th $93 to $355
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 $223.87 Median $275.42 Typical High $2,041.74 | Facility | None | $223.87 | $275.42 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $275.42 Typical High $354.81 | Professional | None (both parts) | $173.78 | $275.42 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $54.95 | $83.18 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $190.55 Typical High $269.15 | Professional | TC · Technical part | $117.49 | $190.55 | $269.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $51.29 Typical High $93.33 | Professional | 26 · Professional part | $40.74 | $51.29 | $93.33 |
BCBS South Carolina Setting Facility Modifier None Typical Low $478.63 Median $1,071.52 Typical High $1,819.70 | Facility | None | $478.63 | $1,071.52 | $1,819.70 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | TC · Technical part | $398.11 | $398.11 | $398.11 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $141.25 Median $288.40 Typical High $407.38 | Professional | None (both parts) | $141.25 | $288.40 | $407.38 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $141.25 Typical High $151.36 | Professional | 26 · Professional part | $51.29 | $141.25 | $151.36 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $190.55 Typical High $269.15 | Professional | TC · Technical part | $91.20 | $190.55 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $616.60 Typical High $891.25 | Facility | None | $389.05 | $616.60 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $295.12 Typical High $478.63 | Professional | None (both parts) | $190.55 | $295.12 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $70.79 Typical High $128.82 | Professional | 26 · Professional part | $60.26 | $70.79 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $234.42 Typical High $323.59 | Professional | TC · Technical part | $123.03 | $234.42 | $323.59 |
Medcost Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
Medcost Setting Facility Modifier None Typical Low $234.42 Median $302.00 Typical High $1,318.26 | Facility | None | $234.42 | $302.00 | $1,318.26 |
Medcost Setting Professional Modifier None (both parts) Typical Low $177.83 Median $416.87 Typical High $457.09 | Professional | None (both parts) | $177.83 | $416.87 | $457.09 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $109.65 Typical High $169.82 | Professional | 26 · Professional part | $91.20 | $109.65 | $169.82 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $331.13 Typical High $371.54 | Professional | TC · Technical part | $169.82 | $331.13 | $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 $741.31 Median $891.25 Typical High $1,174.90 | Facility | None | $741.31 | $891.25 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $275.42 Typical High $478.63 | Professional | None (both parts) | $158.49 | $275.42 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $69.18 Typical High $120.23 | Professional | 26 · Professional part | $53.70 | $69.18 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $190.55 Typical High $371.54 | Professional | TC · Technical part | $102.33 | $190.55 | $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 $77.62 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $77.62 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $30.90 | $54.95 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $144.54 Median $234.42 Typical High $234.42 | Professional | CT · Older CT scanner | $144.54 | $234.42 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $138.04 | $218.78 | $218.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $112.20 Median $213.80 Typical High $229.09 | Professional | 51 · Multiple procedures | $112.20 | $213.80 | $229.09 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $44.67 Median $85.11 Typical High $91.20 | Professional | 80 · Assistant surgeon | $44.67 | $85.11 | $91.20 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $30.90 Median $60.26 Typical High $64.57 | Professional | 81 · Minimal assistant surgeon | $30.90 | $60.26 | $64.57 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $30.90 Median $60.26 Typical High $64.57 | Professional | 82 · Assistant surgeon, no resident | $30.90 | $60.26 | $64.57 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $30.90 Median $60.26 Typical High $64.57 | Professional | AS · PA/NP assist | $30.90 | $60.26 | $64.57 |
Where South Carolina sits
The same service costs 5.9 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· 41st of 51
$200
AK $617UT $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.