How much rates vary
Facilitymedian $1,047 · 10th to 90th $347 to $1,862Professionalmedian $209 · 10th to 90th $93 to $437
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 $257.04 Median $467.74 Typical High $2,630.27 | Facility | None | $257.04 | $467.74 | $2,630.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $275.42 Typical High $346.74 | Professional | None (both parts) | $194.98 | $275.42 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $57.54 | $83.18 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $190.55 Typical High $275.42 | Professional | TC · Technical part | $131.83 | $190.55 | $275.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $54.95 Typical High $100.00 | Professional | 26 · Professional part | $43.65 | $54.95 | $100.00 |
BCBS South Carolina Setting Facility Modifier None Typical Low $562.34 Median $1,122.02 Typical High $1,862.09 | Facility | None | $562.34 | $1,122.02 | $1,862.09 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | TC · Technical part | $457.09 | $457.09 | $457.09 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $158.49 Median $398.11 Typical High $489.78 | Professional | None (both parts) | $158.49 | $398.11 | $489.78 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $131.83 Typical High $190.55 | Professional | 26 · Professional part | $54.95 | $131.83 | $190.55 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $229.09 Typical High $302.00 | Professional | TC · Technical part | $104.71 | $229.09 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $691.83 Typical High $2,187.76 | Facility | None | $446.68 | $691.83 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $309.03 Typical High $524.81 | Professional | None (both parts) | $234.42 | $309.03 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $69.18 Typical High $123.03 | Professional | 26 · Professional part | $56.23 | $69.18 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $257.04 Typical High $389.05 | Professional | TC · Technical part | $162.18 | $257.04 | $389.05 |
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 $199.53 Median $512.86 Typical High $537.03 | Professional | None (both parts) | $199.53 | $512.86 | $537.03 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $102.33 Typical High $158.49 | Professional | 26 · Professional part | $87.10 | $102.33 | $158.49 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $346.74 Typical High $389.05 | Professional | TC · Technical part | $190.55 | $346.74 | $389.05 |
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 $125.89 | Professional | 26 · Professional part | $54.95 | $70.79 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $213.80 Typical High $426.58 | Professional | TC · Technical part | $125.89 | $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 $87.10 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $87.10 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $34.67 | $54.95 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $165.96 Median $234.42 Typical High $234.42 | Professional | CT · Older CT scanner | $165.96 | $234.42 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $154.88 | $218.78 | $218.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $123.03 Median $257.04 Typical High $269.15 | Professional | 51 · Multiple procedures | $123.03 | $257.04 | $269.15 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $50.12 Median $102.33 Typical High $107.15 | Professional | 80 · Assistant surgeon | $50.12 | $102.33 | $107.15 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $34.67 Median $72.44 Typical High $75.86 | Professional | 81 · Minimal assistant surgeon | $34.67 | $72.44 | $75.86 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $34.67 Median $72.44 Typical High $75.86 | Professional | 82 · Assistant surgeon, no resident | $34.67 | $72.44 | $75.86 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $34.67 Median $72.44 Typical High $75.86 | Professional | AS · PA/NP assist | $34.67 | $72.44 | $75.86 |
Where South Carolina sits
The same service costs 5.5 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
$229
AK $692UT $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.