How much rates vary
Facilitymedian $1,072 · 10th to 90th $372 to $2,042Professionalmedian $282 · 10th to 90th $155 to $468
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 $1,122.02 Typical High $2,630.27 | Facility | None | $275.42 | $1,122.02 | $2,630.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $275.42 Typical High $323.59 | Professional | None (both parts) | $263.03 | $275.42 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $54.95 | $83.18 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $190.55 Typical High $239.88 | Professional | TC · Technical part | $169.82 | $190.55 | $239.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $100.00 | $100.00 | $100.00 |
BCBS South Carolina Setting Facility Modifier None Typical Low $645.65 Median $1,148.15 Typical High $2,041.74 | Facility | None | $645.65 | $1,148.15 | $2,041.74 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | TC · Technical part | $446.68 | $446.68 | $446.68 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $218.78 Median $354.81 Typical High $512.86 | Professional | None (both parts) | $218.78 | $354.81 | $512.86 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $69.18 Typical High $107.15 | Professional | 26 · Professional part | $54.95 | $69.18 | $107.15 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $288.40 Typical High $389.05 | Professional | TC · Technical part | $165.96 | $288.40 | $389.05 |
Cigna 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 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $363.08 Typical High $645.65 | Professional | None (both parts) | $302.00 | $363.08 | $645.65 |
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 $229.09 Median $309.03 Typical High $501.19 | Professional | TC · Technical part | $229.09 | $309.03 | $501.19 |
Medcost Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
Medcost Setting Facility Modifier None Typical Low $144.54 Median $302.00 Typical High $467.74 | Facility | None | $144.54 | $302.00 | $467.74 |
Medcost Setting Professional Modifier None (both parts) Typical Low $263.03 Median $501.19 Typical High $562.34 | Professional | None (both parts) | $263.03 | $501.19 | $562.34 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $102.33 Typical High $151.36 | Professional | 26 · Professional part | $79.43 | $102.33 | $151.36 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $436.52 Typical High $457.09 | Professional | TC · Technical part | $288.40 | $436.52 | $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 $257.04 Median $363.08 Typical High $630.96 | Professional | None (both parts) | $257.04 | $363.08 | $630.96 |
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 $199.53 Median $302.00 Typical High $501.19 | Professional | TC · Technical part | $199.53 | $302.00 | $501.19 |
10 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 50 · Both sides Typical Low $489.78 Median $776.25 Typical High $891.25 | Professional | 50 · Both sides | $489.78 | $776.25 | $891.25 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $165.96 Median $257.04 Typical High $302.00 | Professional | 51 · Multiple procedures | $165.96 | $257.04 | $302.00 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $66.07 Median $102.33 Typical High $120.23 | Professional | 80 · Assistant surgeon | $66.07 | $102.33 | $120.23 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $45.71 Median $72.44 Typical High $83.18 | Professional | 81 · Minimal assistant surgeon | $45.71 | $72.44 | $83.18 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $45.71 Median $72.44 Typical High $83.18 | Professional | 82 · Assistant surgeon, no resident | $45.71 | $72.44 | $83.18 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $45.71 Median $72.44 Typical High $83.18 | Professional | AS · PA/NP assist | $45.71 | $72.44 | $83.18 |
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· 43rd 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.