How much rates vary
Facilitymedian $1,175 · 10th to 90th $372 to $2,042Professionalmedian $229 · 10th to 90th $123 to $427
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 $275.42 Median $1,258.93 Typical High $2,630.27 | Facility | None | $275.42 | $1,258.93 | $2,630.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $275.42 Typical High $354.81 | Professional | None (both parts) | $213.80 | $275.42 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $60.26 | $83.18 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $190.55 Typical High $288.40 | Professional | TC · Technical part | $147.91 | $190.55 | $288.40 |
BCBS South Carolina Setting Facility Modifier None Typical Low $512.86 Median $1,258.93 Typical High $2,041.74 | Facility | None | $512.86 | $1,258.93 | $2,041.74 |
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 $173.78 Median $354.81 Typical High $489.78 | Professional | None (both parts) | $173.78 | $354.81 | $489.78 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $154.88 Typical High $199.53 | Professional | 26 · Professional part | $57.54 | $154.88 | $199.53 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $194.98 Typical High $309.03 | Professional | TC · Technical part | $114.82 | $194.98 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $776.25 Typical High $891.25 | Facility | None | $489.78 | $776.25 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $363.08 Typical High $575.44 | Professional | None (both parts) | $229.09 | $363.08 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $141.25 | Professional | 26 · Professional part | $64.57 | $77.62 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $295.12 Typical High $398.11 | Professional | TC · Technical part | $154.88 | $295.12 | $398.11 |
Medcost Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
Medcost Setting Facility Modifier None Typical Low $275.42 Median $346.74 Typical High $1,479.11 | Facility | None | $275.42 | $346.74 | $1,479.11 |
Medcost Setting Professional Modifier None (both parts) Typical Low $218.78 Median $512.86 Typical High $562.34 | Professional | None (both parts) | $218.78 | $512.86 | $562.34 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $120.23 Typical High $223.87 | Professional | 26 · Professional part | $102.33 | $120.23 | $223.87 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $416.87 Typical High $467.74 | Professional | TC · Technical part | $213.80 | $416.87 | $467.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $51.29 Median $181.97 Typical High $281.84 | Professional | None (both parts) | $51.29 | $181.97 | $281.84 |
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 $190.55 Median $331.13 Typical High $575.44 | Professional | None (both parts) | $190.55 | $331.13 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $75.86 Typical High $131.83 | Professional | 26 · Professional part | $58.88 | $75.86 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $234.42 Typical High $467.74 | Professional | TC · Technical part | $128.82 | $234.42 | $467.74 |
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 $93.33 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $93.33 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $38.02 | $54.95 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $173.78 Median $234.42 Typical High $234.42 | Professional | CT · Older CT scanner | $173.78 | $234.42 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $162.18 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $162.18 | $218.78 | $218.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $134.90 Median $257.04 Typical High $281.84 | Professional | 51 · Multiple procedures | $134.90 | $257.04 | $281.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $53.70 Median $102.33 Typical High $112.20 | Professional | 80 · Assistant surgeon | $53.70 | $102.33 | $112.20 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $38.02 Median $72.44 Typical High $77.62 | Professional | 81 · Minimal assistant surgeon | $38.02 | $72.44 | $77.62 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $38.02 Median $72.44 Typical High $77.62 | Professional | 82 · Assistant surgeon, no resident | $38.02 | $72.44 | $77.62 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $38.02 Median $72.44 Typical High $77.62 | Professional | AS · PA/NP assist | $38.02 | $72.44 | $77.62 |
Where South Carolina sits
The same service costs 5.1 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· 39th of 51
$245
AK $676UT $132
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.