How much rates vary
Facilitymedian $724 · 10th to 90th $275 to $1,259Professionalmedian $182 · 10th to 90th $95 to $398
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 $190.55 Median $275.42 Typical High $2,630.27 | Facility | None | $190.55 | $275.42 | $2,630.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $275.42 Typical High $331.13 | Professional | None (both parts) | $158.49 | $275.42 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $83.18 Typical High $91.20 | Professional | 26 · Professional part | $47.86 | $83.18 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $190.55 Typical High $245.47 | Professional | TC · Technical part | $100.00 | $190.55 | $245.47 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $123.03 Median $134.90 Typical High $223.87 | Professional | None (both parts) | $123.03 | $134.90 | $223.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $50.12 Typical High $83.18 | Professional | 26 · Professional part | $36.31 | $50.12 | $83.18 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $120.23 Typical High $138.04 | Professional | TC · Technical part | $109.65 | $120.23 | $138.04 |
BCBS South Carolina Setting Facility Modifier None Typical Low $371.54 Median $812.83 Typical High $1,258.93 | Facility | None | $371.54 | $812.83 | $1,258.93 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | TC · Technical part | $426.58 | $426.58 | $426.58 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $123.03 Median $295.12 Typical High $416.87 | Professional | None (both parts) | $123.03 | $295.12 | $416.87 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $102.33 Typical High $131.83 | Professional | 26 · Professional part | $45.71 | $102.33 | $131.83 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $190.55 Typical High $275.42 | Professional | TC · Technical part | $77.62 | $190.55 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $512.86 Typical High $776.25 | Facility | None | $331.13 | $512.86 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $239.88 Typical High $407.38 | Professional | None (both parts) | $177.83 | $239.88 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $58.88 Typical High $109.65 | Professional | 26 · Professional part | $50.12 | $58.88 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $190.55 Typical High $281.84 | Professional | TC · Technical part | $120.23 | $190.55 | $281.84 |
Medcost Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Medcost Setting Facility Modifier None Typical Low $204.17 Median $275.42 Typical High $851.14 | Facility | None | $204.17 | $275.42 | $851.14 |
Medcost Setting Professional Modifier None (both parts) Typical Low $151.36 Median $380.19 Typical High $398.11 | Professional | None (both parts) | $151.36 | $380.19 | $398.11 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $91.20 Typical High $134.90 | Professional | 26 · Professional part | $77.62 | $91.20 | $134.90 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $257.04 Typical High $309.03 | Professional | TC · Technical part | $141.25 | $257.04 | $309.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $51.29 Median $141.25 Typical High $229.09 | Professional | None (both parts) | $51.29 | $141.25 | $229.09 |
United Setting Facility Modifier None Typical Low $436.52 Median $537.03 Typical High $691.83 | Facility | None | $436.52 | $537.03 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $234.42 Typical High $407.38 | Professional | None (both parts) | $144.54 | $234.42 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $58.88 Typical High $104.71 | Professional | 26 · Professional part | $45.71 | $58.88 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $165.96 Typical High $309.03 | Professional | TC · Technical part | $95.50 | $165.96 | $309.03 |
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 $66.07 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $66.07 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $26.30 | $54.95 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $128.82 Median $234.42 Typical High $234.42 | Professional | CT · Older CT scanner | $128.82 | $234.42 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $123.03 | $218.78 | $218.78 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $281.84 Median $575.44 Typical High $602.56 | Professional | 50 · Both sides | $281.84 | $575.44 | $602.56 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $95.50 Median $190.55 Typical High $199.53 | Professional | 51 · Multiple procedures | $95.50 | $190.55 | $199.53 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $38.02 Median $75.86 Typical High $79.43 | Professional | 80 · Assistant surgeon | $38.02 | $75.86 | $79.43 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $26.30 Median $53.70 Typical High $56.23 | Professional | 81 · Minimal assistant surgeon | $26.30 | $53.70 | $56.23 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $26.30 Median $53.70 Typical High $56.23 | Professional | 82 · Assistant surgeon, no resident | $26.30 | $53.70 | $56.23 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $26.30 Median $53.70 Typical High $56.23 | Professional | AS · PA/NP assist | $26.30 | $53.70 | $56.23 |
Where South Carolina sits
The same service costs 5.8 times more in Vermont 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· 32nd of 51
$195
VT $603UT $105
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.