How much rates vary
Facilitymedian $1,175 · 10th to 90th $457 to $2,042Professionalmedian $251 · 10th to 90th $123 to $490
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 $223.87 Median $275.42 Typical High $354.81 | Professional | None (both parts) | $223.87 | $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 $158.49 Median $190.55 Typical High $218.78 | Professional | TC · Technical part | $158.49 | $190.55 | $218.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $56.23 | $56.23 | $56.23 |
BCBS South Carolina Setting Facility Modifier None Typical Low $676.08 Median $1,288.25 Typical High $2,137.96 | Facility | None | $676.08 | $1,288.25 | $2,137.96 |
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 $186.21 Median $407.38 Typical High $575.44 | Professional | None (both parts) | $186.21 | $407.38 | $575.44 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $70.79 Typical High $107.15 | Professional | 26 · Professional part | $56.23 | $70.79 | $107.15 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $338.84 Typical High $389.05 | Professional | TC · Technical part | $128.82 | $338.84 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $851.14 Typical High $891.25 | Facility | None | $549.54 | $851.14 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $380.19 Typical High $616.60 | Professional | None (both parts) | $275.42 | $380.19 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $72.44 Typical High $134.90 | Professional | 26 · Professional part | $58.88 | $72.44 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $323.59 Typical High $478.63 | Professional | TC · Technical part | $199.53 | $323.59 | $478.63 |
Medcost Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
Medcost Setting Facility Modifier None Typical Low $275.42 Median $363.08 Typical High $1,479.11 | Facility | None | $275.42 | $363.08 | $1,479.11 |
Medcost Setting Professional Modifier None (both parts) Typical Low $229.09 Median $537.03 Typical High $645.65 | Professional | None (both parts) | $229.09 | $537.03 | $645.65 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $107.15 Typical High $158.49 | Professional | 26 · Professional part | $83.18 | $107.15 | $158.49 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $426.58 Typical High $457.09 | Professional | TC · Technical part | $234.42 | $426.58 | $457.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $51.29 Median $199.53 Typical High $338.84 | Professional | None (both parts) | $51.29 | $199.53 | $338.84 |
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 $213.80 Median $354.81 Typical High $645.65 | Professional | None (both parts) | $213.80 | $354.81 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $72.44 Typical High $131.83 | Professional | 26 · Professional part | $57.54 | $72.44 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $269.15 Typical High $537.03 | Professional | TC · Technical part | $151.36 | $269.15 | $537.03 |
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 $100.00 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $100.00 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $39.81 | $54.95 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $190.55 Median $234.42 Typical High $234.42 | Professional | CT · Older CT scanner | $190.55 | $234.42 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $181.97 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $181.97 | $218.78 | $218.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $144.54 Median $269.15 Typical High $323.59 | Professional | 51 · Multiple procedures | $144.54 | $269.15 | $323.59 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $57.54 Median $107.15 Typical High $131.83 | Professional | 80 · Assistant surgeon | $57.54 | $107.15 | $131.83 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $40.74 Median $75.86 Typical High $91.20 | Professional | 81 · Minimal assistant surgeon | $40.74 | $75.86 | $91.20 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $40.74 Median $75.86 Typical High $91.20 | Professional | 82 · Assistant surgeon, no resident | $40.74 | $75.86 | $91.20 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $40.74 Median $75.86 Typical High $91.20 | Professional | AS · PA/NP assist | $40.74 | $75.86 | $91.20 |
Where South Carolina sits
The same service costs 5.2 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
$269
AK $794UT $151
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.