How much rates vary
Facilitymedian $1,000 · 10th to 90th $288 to $1,738Professionalmedian $204 · 10th to 90th $93 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 $251.19 Median $354.81 Typical High $2,041.74 | Facility | None | $251.19 | $354.81 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $275.42 Typical High $338.84 | Professional | None (both parts) | $190.55 | $275.42 | $338.84 |
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 $131.83 Median $190.55 Typical High $257.04 | Professional | TC · Technical part | $131.83 | $190.55 | $257.04 |
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 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $104.71 | Professional | TC · Technical part | $72.44 | $72.44 | $104.71 |
BCBS South Carolina Setting Facility Modifier None Typical Low $426.58 Median $1,096.48 Typical High $1,737.80 | Facility | None | $426.58 | $1,096.48 | $1,737.80 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | TC · Technical part | $467.74 | $467.74 | $467.74 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $154.88 Median $338.84 Typical High $467.74 | Professional | None (both parts) | $154.88 | $338.84 | $467.74 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $114.82 Typical High $125.89 | Professional | 26 · Professional part | $52.48 | $114.82 | $125.89 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $263.03 Typical High $338.84 | Professional | TC · Technical part | $104.71 | $263.03 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $691.83 Typical High $891.25 | Facility | None | $446.68 | $691.83 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $288.40 Typical High $489.78 | Professional | None (both parts) | $229.09 | $288.40 | $489.78 |
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 $162.18 Median $234.42 Typical High $354.81 | Professional | TC · Technical part | $162.18 | $234.42 | $354.81 |
Medcost Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
Medcost Setting Facility Modifier None Typical Low $234.42 Median $302.00 Typical High $1,318.26 | Facility | None | $234.42 | $302.00 | $1,318.26 |
Medcost Setting Professional Modifier None (both parts) Typical Low $194.98 Median $436.52 Typical High $467.74 | Professional | None (both parts) | $194.98 | $436.52 | $467.74 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $97.72 Typical High $144.54 | Professional | 26 · Professional part | $83.18 | $97.72 | $144.54 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $346.74 Typical High $380.19 | Professional | TC · Technical part | $190.55 | $346.74 | $380.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $51.29 Median $158.49 Typical High $281.84 | Professional | None (both parts) | $51.29 | $158.49 | $281.84 |
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 $181.97 Median $281.84 Typical High $478.63 | Professional | None (both parts) | $181.97 | $281.84 | $478.63 |
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 $125.89 Median $208.93 Typical High $380.19 | Professional | TC · Technical part | $125.89 | $208.93 | $380.19 |
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 $85.11 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $85.11 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $33.88 | $54.95 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $162.18 Median $234.42 Typical High $234.42 | Professional | CT · Older CT scanner | $162.18 | $234.42 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $151.36 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $151.36 | $218.78 | $218.78 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $363.08 Median $660.69 Typical High $741.31 | Professional | 50 · Both sides | $363.08 | $660.69 | $741.31 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $123.03 Median $218.78 Typical High $245.47 | Professional | 51 · Multiple procedures | $123.03 | $218.78 | $245.47 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $48.98 Median $87.10 Typical High $100.00 | Professional | 80 · Assistant surgeon | $48.98 | $87.10 | $100.00 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $33.88 Median $61.66 Typical High $69.18 | Professional | 81 · Minimal assistant surgeon | $33.88 | $61.66 | $69.18 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $33.88 Median $61.66 Typical High $69.18 | Professional | 82 · Assistant surgeon, no resident | $33.88 | $61.66 | $69.18 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $33.88 Median $61.66 Typical High $69.18 | Professional | AS · PA/NP assist | $33.88 | $61.66 | $69.18 |
Where South Carolina sits
The same service costs 5.4 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· 37th of 51
$234
AK $676UT $126
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.