How much rates vary
Facilitymedian $1,023 · 10th to 90th $339 to $1,905Professionalmedian $275 · 10th to 90th $155 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 $338.84 Typical High $2,041.74 | Facility | None | $275.42 | $338.84 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $275.42 Typical High $398.11 | Professional | None (both parts) | $245.47 | $275.42 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $83.18 Typical High $85.11 | Professional | 26 · Professional part | $54.95 | $83.18 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $269.15 | Professional | TC · Technical part | $190.55 | $190.55 | $269.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $52.48 Typical High $95.50 | Professional | 26 · Professional part | $41.69 | $52.48 | $95.50 |
BCBS South Carolina Setting Facility Modifier None Typical Low $549.54 Median $1,096.48 Typical High $1,949.84 | Facility | None | $549.54 | $1,096.48 | $1,949.84 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | TC · Technical part | $524.81 | $524.81 | $524.81 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $208.93 Median $380.19 Typical High $524.81 | Professional | None (both parts) | $208.93 | $380.19 | $524.81 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $102.33 Typical High $134.90 | Professional | 26 · Professional part | $52.48 | $102.33 | $134.90 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $275.42 Typical High $363.08 | Professional | TC · Technical part | $158.49 | $275.42 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $891.25 Typical High $1,071.52 | Facility | None | $676.08 | $891.25 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $295.12 Typical High $549.54 | Professional | None (both parts) | $245.47 | $295.12 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $66.07 Typical High $117.49 | Professional | 26 · Professional part | $53.70 | $66.07 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $245.47 Typical High $436.52 | Professional | TC · Technical part | $177.83 | $245.47 | $436.52 |
Medcost Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Medcost Setting Facility Modifier None Typical Low $269.15 Median $309.03 Typical High $1,318.26 | Facility | None | $269.15 | $309.03 | $1,318.26 |
Medcost Setting Professional Modifier None (both parts) Typical Low $263.03 Median $489.78 Typical High $524.81 | Professional | None (both parts) | $263.03 | $489.78 | $524.81 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $97.72 Typical High $204.17 | Professional | 26 · Professional part | $83.18 | $97.72 | $204.17 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $338.84 Typical High $380.19 | Professional | TC · Technical part | $281.84 | $338.84 | $380.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $51.29 Median $239.88 Typical High $389.05 | Professional | None (both parts) | $51.29 | $239.88 | $389.05 |
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 $223.87 Median $316.23 Typical High $537.03 | Professional | None (both parts) | $223.87 | $316.23 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $67.61 Typical High $120.23 | Professional | 26 · Professional part | $52.48 | $67.61 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $251.19 Typical High $426.58 | Professional | TC · Technical part | $169.82 | $251.19 | $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 $112.20 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $112.20 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $44.67 | $54.95 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $199.53 Median $234.42 Typical High $234.42 | Professional | CT · Older CT scanner | $199.53 | $234.42 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $186.21 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $186.21 | $218.78 | $218.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $162.18 Median $251.19 Typical High $275.42 | Professional | 51 · Multiple procedures | $162.18 | $251.19 | $275.42 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $64.57 Median $100.00 Typical High $112.20 | Professional | 80 · Assistant surgeon | $64.57 | $100.00 | $112.20 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $45.71 Median $69.18 Typical High $77.62 | Professional | 81 · Minimal assistant surgeon | $45.71 | $69.18 | $77.62 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $45.71 Median $69.18 Typical High $77.62 | Professional | 82 · Assistant surgeon, no resident | $45.71 | $69.18 | $77.62 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $45.71 Median $69.18 Typical High $77.62 | Professional | AS · PA/NP assist | $45.71 | $69.18 | $77.62 |
Where South Carolina sits
The same service costs 4.4 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
$282
AK $776UT $178
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.