How much rates vary
Facilitymedian $1,148 · 10th to 90th $347 to $2,042Professionalmedian $257 · 10th to 90th $123 to $513
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 $331.13 Typical High $2,041.74 | Facility | None | $275.42 | $331.13 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $275.42 Typical High $398.11 | Professional | None (both parts) | $251.19 | $275.42 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $83.18 Typical High $93.33 | Professional | 26 · Professional part | $70.79 | $83.18 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $190.55 Typical High $316.23 | Professional | TC · Technical part | $162.18 | $190.55 | $316.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $363.08 | Professional | None (both parts) | $229.09 | $229.09 | $363.08 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $131.83 | Professional | 26 · Professional part | $72.44 | $72.44 | $131.83 |
BCBS South Carolina Setting Facility Modifier None Typical Low $562.34 Median $1,288.25 Typical High $2,041.74 | Facility | None | $562.34 | $1,288.25 | $2,041.74 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | TC · Technical part | $524.81 | $524.81 | $524.81 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $208.93 Median $407.38 Typical High $562.34 | Professional | None (both parts) | $208.93 | $407.38 | $562.34 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $141.25 Typical High $177.83 | Professional | 26 · Professional part | $72.44 | $141.25 | $177.83 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $269.15 Typical High $363.08 | Professional | TC · Technical part | $134.90 | $269.15 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $891.25 Typical High $891.25 | Facility | None | $575.44 | $891.25 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $354.81 Typical High $588.84 | Professional | None (both parts) | $281.84 | $354.81 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $83.18 Typical High $151.36 | Professional | 26 · Professional part | $66.07 | $83.18 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $288.40 Typical High $426.58 | Professional | TC · Technical part | $177.83 | $288.40 | $426.58 |
Medcost Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Medcost Setting Facility Modifier None Typical Low $275.42 Median $354.81 Typical High $1,479.11 | Facility | None | $275.42 | $354.81 | $1,479.11 |
Medcost Setting Professional Modifier None (both parts) Typical Low $263.03 Median $501.19 Typical High $562.34 | Professional | None (both parts) | $263.03 | $501.19 | $562.34 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $120.23 Typical High $190.55 | Professional | 26 · Professional part | $102.33 | $120.23 | $190.55 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $398.11 Typical High $489.78 | Professional | TC · Technical part | $251.19 | $398.11 | $489.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $114.82 Median $190.55 Typical High $371.54 | Professional | None (both parts) | $114.82 | $190.55 | $371.54 |
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 $229.09 Median $346.74 Typical High $588.84 | Professional | None (both parts) | $229.09 | $346.74 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $91.20 Typical High $165.96 | Professional | 26 · Professional part | $67.61 | $91.20 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $257.04 Typical High $467.74 | Professional | TC · Technical part | $151.36 | $257.04 | $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 $112.20 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $112.20 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $44.67 | $54.95 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $208.93 Median $234.42 Typical High $234.42 | Professional | CT · Older CT scanner | $208.93 | $234.42 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $194.98 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $194.98 | $218.78 | $218.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $162.18 Median $251.19 Typical High $302.00 | Professional | 51 · Multiple procedures | $162.18 | $251.19 | $302.00 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $64.57 Median $102.33 Typical High $120.23 | Professional | 80 · Assistant surgeon | $64.57 | $102.33 | $120.23 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $45.71 Median $70.79 Typical High $83.18 | Professional | 81 · Minimal assistant surgeon | $45.71 | $70.79 | $83.18 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $45.71 Median $70.79 Typical High $83.18 | Professional | 82 · Assistant surgeon, no resident | $45.71 | $70.79 | $83.18 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $45.71 Median $70.79 Typical High $83.18 | Professional | AS · PA/NP assist | $45.71 | $70.79 | $83.18 |
Where South Carolina sits
The same service costs 6.3 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· 43rd of 51
$269
AK $851UT $135
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.