How much rates vary
Facilitymedian $1,148 · 10th to 90th $372 to $2,042Professionalmedian $288 · 10th to 90th $132 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 $275.42 Median $416.87 Typical High $2,041.74 | Facility | None | $275.42 | $416.87 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $524.81 | Professional | None (both parts) | $275.42 | $275.42 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $131.83 | Professional | 26 · Professional part | $83.18 | $83.18 | $131.83 |
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 $208.93 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $208.93 | $288.40 | $288.40 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $125.89 Typical High $151.36 | Professional | 26 · Professional part | $64.57 | $125.89 | $151.36 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $257.04 | Professional | TC · Technical part | $128.82 | $128.82 | $257.04 |
BCBS South Carolina Setting Facility Modifier None Typical Low $537.03 Median $1,258.93 Typical High $2,041.74 | Facility | None | $537.03 | $1,258.93 | $2,041.74 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | TC · Technical part | $478.63 | $478.63 | $478.63 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $245.47 Median $316.23 Typical High $446.68 | Professional | None (both parts) | $245.47 | $316.23 | $446.68 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $79.43 Typical High $114.82 | Professional | 26 · Professional part | $67.61 | $79.43 | $114.82 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $218.78 Typical High $338.84 | Professional | TC · Technical part | $165.96 | $218.78 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $891.25 Typical High $1,380.38 | Facility | None | $776.25 | $891.25 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $501.19 Typical High $776.25 | Professional | None (both parts) | $331.13 | $501.19 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $102.33 Typical High $190.55 | Professional | 26 · Professional part | $89.13 | $102.33 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $407.38 Typical High $602.56 | Professional | TC · Technical part | $229.09 | $407.38 | $602.56 |
Medcost Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Medcost Setting Facility Modifier None Typical Low $144.54 Median $371.54 Typical High $501.19 | Facility | None | $144.54 | $371.54 | $501.19 |
Medcost Setting Professional Modifier None (both parts) Typical Low $295.12 Median $549.54 Typical High $891.25 | Professional | None (both parts) | $295.12 | $549.54 | $891.25 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $158.49 Typical High $223.87 | Professional | 26 · Professional part | $138.04 | $158.49 | $223.87 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $446.68 Typical High $616.60 | Professional | TC · Technical part | $288.40 | $446.68 | $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 $281.84 Median $457.09 Typical High $812.83 | Professional | None (both parts) | $281.84 | $457.09 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $107.15 Typical High $190.55 | Professional | 26 · Professional part | $83.18 | $107.15 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $354.81 Typical High $660.69 | Professional | TC · Technical part | $194.98 | $354.81 | $660.69 |
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 $128.82 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $128.82 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $51.29 | $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 $186.21 Median $275.42 Typical High $446.68 | Professional | 51 · Multiple procedures | $186.21 | $275.42 | $446.68 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $74.13 Median $112.20 Typical High $177.83 | Professional | 80 · Assistant surgeon | $74.13 | $112.20 | $177.83 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $52.48 Median $77.62 Typical High $123.03 | Professional | 81 · Minimal assistant surgeon | $52.48 | $77.62 | $123.03 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $52.48 Median $77.62 Typical High $123.03 | Professional | 82 · Assistant surgeon, no resident | $52.48 | $77.62 | $123.03 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $52.48 Median $77.62 Typical High $123.03 | Professional | AS · PA/NP assist | $52.48 | $77.62 | $123.03 |
Where South Carolina sits
The same service costs 12.3 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· 42nd of 51
$302
VT $2,089UT $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.