How much rates vary
Facilitymedian $1,175 · 10th to 90th $363 to $2,042Professionalmedian $288 · 10th to 90th $132 to $550
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 $407.38 Typical High $2,041.74 | Facility | None | $275.42 | $407.38 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $478.63 | Professional | None (both parts) | $275.42 | $275.42 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $83.18 Typical High $123.03 | Professional | 26 · Professional part | $81.28 | $83.18 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $389.05 | Professional | TC · Technical part | $190.55 | $190.55 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $281.84 | $281.84 | $281.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $77.62 Typical High $144.54 | Professional | 26 · Professional part | $63.10 | $77.62 | $144.54 |
BCBS South Carolina Setting Facility Modifier None Typical Low $575.44 Median $1,288.25 Typical High $2,187.76 | Facility | None | $575.44 | $1,288.25 | $2,187.76 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | TC · Technical part | $467.74 | $467.74 | $467.74 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $245.47 Median $316.23 Typical High $436.52 | Professional | None (both parts) | $245.47 | $316.23 | $436.52 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $97.72 Typical High $151.36 | Professional | 26 · Professional part | $77.62 | $97.72 | $151.36 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $199.53 Typical High $275.42 | Professional | TC · Technical part | $165.96 | $199.53 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $891.25 Typical High $1,258.93 | Facility | None | $776.25 | $891.25 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $549.54 Typical High $851.14 | Professional | None (both parts) | $331.13 | $549.54 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $97.72 Typical High $177.83 | Professional | 26 · Professional part | $81.28 | $97.72 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $467.74 Typical High $602.56 | Professional | TC · Technical part | $229.09 | $467.74 | $602.56 |
Medcost Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
Medcost Setting Facility Modifier None Typical Low $275.42 Median $407.38 Typical High $1,513.56 | Facility | None | $275.42 | $407.38 | $1,513.56 |
Medcost Setting Professional Modifier None (both parts) Typical Low $295.12 Median $602.56 Typical High $776.25 | Professional | None (both parts) | $295.12 | $602.56 | $776.25 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $144.54 Typical High $208.93 | Professional | 26 · Professional part | $125.89 | $144.54 | $208.93 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $436.52 Typical High $616.60 | Professional | TC · Technical part | $288.40 | $436.52 | $616.60 |
Molina Setting Professional Modifier None (both parts) Typical Low $114.82 Median $208.93 Typical High $416.87 | Professional | None (both parts) | $114.82 | $208.93 | $416.87 |
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 $275.42 Median $478.63 Typical High $851.14 | Professional | None (both parts) | $275.42 | $478.63 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $100.00 Typical High $181.97 | Professional | 26 · Professional part | $79.43 | $100.00 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $363.08 Typical High $724.44 | Professional | TC · Technical part | $190.55 | $363.08 | $724.44 |
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 $125.89 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $125.89 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $50.12 | $54.95 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | CT · Older CT scanner | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $218.78 | $218.78 | $218.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $181.97 Median $302.00 Typical High $389.05 | Professional | 51 · Multiple procedures | $181.97 | $302.00 | $389.05 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $74.13 Median $120.23 Typical High $154.88 | Professional | 80 · Assistant surgeon | $74.13 | $120.23 | $154.88 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $51.29 Median $83.18 Typical High $109.65 | Professional | 81 · Minimal assistant surgeon | $51.29 | $83.18 | $109.65 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $51.29 Median $83.18 Typical High $109.65 | Professional | 82 · Assistant surgeon, no resident | $51.29 | $83.18 | $109.65 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $51.29 Median $83.18 Typical High $109.65 | Professional | AS · PA/NP assist | $51.29 | $83.18 | $109.65 |
Where South Carolina sits
The same service costs 7.6 times more in Vermont 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· 44th of 51
$302
VT $1,288UT $170
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.