How much rates vary
Facilitymedian $1,175 · 10th to 90th $407 to $2,042Professionalmedian $282 · 10th to 90th $155 to $603
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 $1,230.27 Typical High $2,630.27 | Facility | None | $275.42 | $1,230.27 | $2,630.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $275.42 Typical High $398.11 | Professional | None (both parts) | $269.15 | $275.42 | $398.11 |
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 $190.55 Median $190.55 Typical High $302.00 | Professional | TC · Technical part | $190.55 | $190.55 | $302.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $100.00 | Professional | 26 · Professional part | $54.95 | $54.95 | $100.00 |
BCBS South Carolina Setting Facility Modifier None Typical Low $602.56 Median $1,288.25 Typical High $2,089.30 | Facility | None | $602.56 | $1,288.25 | $2,089.30 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | TC · Technical part | $660.69 | $660.69 | $660.69 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $218.78 Median $457.09 Typical High $616.60 | Professional | None (both parts) | $218.78 | $457.09 | $616.60 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $131.83 Typical High $186.21 | Professional | 26 · Professional part | $54.95 | $131.83 | $186.21 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $309.03 Typical High $478.63 | Professional | TC · Technical part | $165.96 | $309.03 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $891.25 Typical High $1,202.26 | Facility | None | $758.58 | $891.25 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $371.54 Typical High $660.69 | Professional | None (both parts) | $281.84 | $371.54 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $69.18 Typical High $128.82 | Professional | 26 · Professional part | $54.95 | $69.18 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $316.23 Typical High $512.86 | Professional | TC · Technical part | $213.80 | $316.23 | $512.86 |
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 $144.54 Median $323.59 Typical High $436.52 | Facility | None | $144.54 | $323.59 | $436.52 |
Medcost Setting Professional Modifier None (both parts) Typical Low $263.03 Median $501.19 Typical High $630.96 | Professional | None (both parts) | $263.03 | $501.19 | $630.96 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $102.33 Typical High $177.83 | Professional | 26 · Professional part | $87.10 | $102.33 | $177.83 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $416.87 Typical High $457.09 | Professional | TC · Technical part | $288.40 | $416.87 | $457.09 |
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 $251.19 Median $380.19 Typical High $645.65 | Professional | None (both parts) | $251.19 | $380.19 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $69.18 Typical High $125.89 | Professional | 26 · Professional part | $54.95 | $69.18 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $302.00 Typical High $512.86 | Professional | TC · Technical part | $194.98 | $302.00 | $512.86 |
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 $114.82 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $114.82 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $45.71 | $54.95 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $223.87 Median $234.42 Typical High $234.42 | Professional | CT · Older CT scanner | $223.87 | $234.42 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $208.93 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $208.93 | $218.78 | $218.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $165.96 Median $257.04 Typical High $331.13 | Professional | 51 · Multiple procedures | $165.96 | $257.04 | $331.13 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $66.07 Median $102.33 Typical High $134.90 | Professional | 80 · Assistant surgeon | $66.07 | $102.33 | $134.90 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $46.77 Median $70.79 Typical High $93.33 | Professional | 81 · Minimal assistant surgeon | $46.77 | $70.79 | $93.33 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $46.77 Median $70.79 Typical High $93.33 | Professional | 82 · Assistant surgeon, no resident | $46.77 | $70.79 | $93.33 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $46.77 Median $70.79 Typical High $93.33 | Professional | AS · PA/NP assist | $46.77 | $70.79 | $93.33 |
Where South Carolina sits
The same service costs 5.0 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· 40th of 51
$295
AK $891UT $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.