How much rates vary
Facilitymedian $1,047 · 10th to 90th $295 to $1,862Professionalmedian $209 · 10th to 90th $95 to $525
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 $213.80 Median $275.42 Typical High $1,905.46 | Facility | None | $213.80 | $275.42 | $1,905.46 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $275.42 Typical High $407.38 | Professional | None (both parts) | $204.17 | $275.42 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $83.18 Typical High $107.15 | Professional | 26 · Professional part | $54.95 | $83.18 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $190.55 Typical High $288.40 | Professional | TC · Technical part | $138.04 | $190.55 | $288.40 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $102.33 Median $173.78 Typical High $288.40 | Professional | None (both parts) | $102.33 | $173.78 | $288.40 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $57.54 Typical High $95.50 | Professional | 26 · Professional part | $41.69 | $57.54 | $95.50 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $72.44 Typical High $72.44 | Professional | TC · Technical part | $57.54 | $72.44 | $72.44 |
BCBS South Carolina Setting Facility Modifier None Typical Low $537.03 Median $1,148.15 Typical High $1,905.46 | Facility | None | $537.03 | $1,148.15 | $1,905.46 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | TC · Technical part | $588.84 | $588.84 | $588.84 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $154.88 Median $398.11 Typical High $588.84 | Professional | None (both parts) | $154.88 | $398.11 | $588.84 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $109.65 Typical High $144.54 | Professional | 26 · Professional part | $52.48 | $109.65 | $144.54 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $288.40 Typical High $457.09 | Professional | TC · Technical part | $104.71 | $288.40 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $691.83 Typical High $1,148.15 | Facility | None | $446.68 | $691.83 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $316.23 Typical High $512.86 | Professional | None (both parts) | $229.09 | $316.23 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $69.18 Typical High $138.04 | Professional | 26 · Professional part | $56.23 | $69.18 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $257.04 Typical High $371.54 | Professional | TC · Technical part | $141.25 | $257.04 | $371.54 |
Medcost Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
Medcost Setting Facility Modifier None Typical Low $269.15 Median $302.00 Typical High $1,318.26 | Facility | None | $269.15 | $302.00 | $1,318.26 |
Medcost Setting Professional Modifier None (both parts) Typical Low $194.98 Median $512.86 Typical High $602.56 | Professional | None (both parts) | $194.98 | $512.86 | $602.56 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $102.33 Typical High $239.88 | Professional | 26 · Professional part | $89.13 | $102.33 | $239.88 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $323.59 Typical High $416.87 | Professional | TC · Technical part | $190.55 | $323.59 | $416.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $51.29 Median $158.49 Typical High $281.84 | Professional | None (both parts) | $51.29 | $158.49 | $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 $186.21 Median $295.12 Typical High $524.81 | Professional | None (both parts) | $186.21 | $295.12 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $70.79 Typical High $128.82 | Professional | 26 · Professional part | $54.95 | $70.79 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $213.80 Typical High $426.58 | Professional | TC · Technical part | $123.03 | $213.80 | $426.58 |
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 $85.11 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $85.11 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $33.88 | $54.95 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $162.18 Median $234.42 Typical High $234.42 | Professional | CT · Older CT scanner | $162.18 | $234.42 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $151.36 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $151.36 | $218.78 | $218.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $123.03 Median $257.04 Typical High $302.00 | Professional | 51 · Multiple procedures | $123.03 | $257.04 | $302.00 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $48.98 Median $102.33 Typical High $120.23 | Professional | 80 · Assistant surgeon | $48.98 | $102.33 | $120.23 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $33.88 Median $70.79 Typical High $85.11 | Professional | 81 · Minimal assistant surgeon | $33.88 | $70.79 | $85.11 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $33.88 Median $70.79 Typical High $85.11 | Professional | 82 · Assistant surgeon, no resident | $33.88 | $70.79 | $85.11 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $33.88 Median $70.79 Typical High $85.11 | Professional | AS · PA/NP assist | $33.88 | $70.79 | $85.11 |
Where South Carolina sits
The same service costs 5.9 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· 37th of 51
$240
VT $741UT $126
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.