How much rates vary
Facilitymedian $1,175 · 10th to 90th $437 to $2,042Professionalmedian $302 · 10th to 90th $132 to $537
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 $275.42 Median $275.42 Typical High $457.09 | Professional | None (both parts) | $275.42 | $275.42 | $457.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $95.50 | Professional | 26 · Professional part | $83.18 | $83.18 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $354.81 | Professional | TC · Technical part | $190.55 | $190.55 | $354.81 |
BCBS South Carolina Setting Facility Modifier None Typical Low $630.96 Median $1,258.93 Typical High $2,089.30 | Facility | None | $630.96 | $1,258.93 | $2,089.30 |
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 $398.11 Typical High $524.81 | Professional | None (both parts) | $245.47 | $398.11 | $524.81 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $87.10 Typical High $162.18 | Professional | 26 · Professional part | $67.61 | $87.10 | $162.18 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $302.00 Typical High $363.08 | Professional | TC · Technical part | $165.96 | $302.00 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $891.25 Typical High $1,348.96 | Facility | None | $870.96 | $891.25 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $478.63 Typical High $812.83 | Professional | None (both parts) | $346.74 | $478.63 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $100.00 Typical High $177.83 | Professional | 26 · Professional part | $83.18 | $100.00 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $398.11 Typical High $616.60 | Professional | TC · Technical part | $239.88 | $398.11 | $616.60 |
Medcost Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
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 $851.14 | Professional | None (both parts) | $295.12 | $602.56 | $851.14 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $151.36 Typical High $208.93 | Professional | 26 · Professional part | $128.82 | $151.36 | $208.93 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $446.68 Typical High $467.74 | Professional | TC · Technical part | $288.40 | $446.68 | $467.74 |
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 $302.00 Median $457.09 Typical High $812.83 | Professional | None (both parts) | $302.00 | $457.09 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $104.71 Typical High $186.21 | Professional | 26 · Professional part | $81.28 | $104.71 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $346.74 Typical High $630.96 | Professional | TC · Technical part | $213.80 | $346.74 | $630.96 |
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 $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 $309.03 Typical High $426.58 | Professional | 51 · Multiple procedures | $186.21 | $309.03 | $426.58 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $74.13 Median $120.23 Typical High $169.82 | Professional | 80 · Assistant surgeon | $74.13 | $120.23 | $169.82 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $51.29 Median $85.11 Typical High $120.23 | Professional | 81 · Minimal assistant surgeon | $51.29 | $85.11 | $120.23 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $51.29 Median $85.11 Typical High $120.23 | Professional | 82 · Assistant surgeon, no resident | $51.29 | $85.11 | $120.23 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $51.29 Median $85.11 Typical High $120.23 | Professional | AS · PA/NP assist | $51.29 | $85.11 | $120.23 |
Where South Carolina sits
The same service costs 5.8 times more in Alaska than in Texas. 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
$309
AK $977TX $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.