How much rates vary
Facilitymedian $1,072 · 10th to 90th $372 to $2,042Professionalmedian $251 · 10th to 90th $123 to $457
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 $208.93 Median $275.42 Typical High $346.74 | Professional | None (both parts) | $208.93 | $275.42 | $346.74 |
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 $151.36 Median $190.55 Typical High $239.88 | Professional | TC · Technical part | $151.36 | $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 $616.60 Median $1,148.15 Typical High $2,137.96 | Facility | None | $616.60 | $1,148.15 | $2,137.96 |
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 $181.97 Median $354.81 Typical High $501.19 | Professional | None (both parts) | $181.97 | $354.81 | $501.19 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $131.83 Typical High $173.78 | Professional | 26 · Professional part | $54.95 | $131.83 | $173.78 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $218.78 Typical High $338.84 | Professional | TC · Technical part | $128.82 | $218.78 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $851.14 Typical High $891.25 | Facility | None | $549.54 | $851.14 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $363.08 Typical High $602.56 | Professional | None (both parts) | $269.15 | $363.08 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $69.18 Typical High $128.82 | Professional | 26 · Professional part | $56.23 | $69.18 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $309.03 Typical High $457.09 | Professional | TC · Technical part | $204.17 | $309.03 | $457.09 |
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 $275.42 Median $363.08 Typical High $1,479.11 | Facility | None | $275.42 | $363.08 | $1,479.11 |
Medcost Setting Professional Modifier None (both parts) Typical Low $229.09 Median $512.86 Typical High $562.34 | Professional | None (both parts) | $229.09 | $512.86 | $562.34 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $102.33 Typical High $154.88 | Professional | 26 · Professional part | $79.43 | $102.33 | $154.88 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $436.52 Typical High $457.09 | Professional | TC · Technical part | $234.42 | $436.52 | $457.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $51.29 Median $199.53 Typical High $338.84 | Professional | None (both parts) | $51.29 | $199.53 | $338.84 |
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 $218.78 Median $354.81 Typical High $602.56 | Professional | None (both parts) | $218.78 | $354.81 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $70.79 Typical High $125.89 | Professional | 26 · Professional part | $54.95 | $70.79 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $269.15 Typical High $501.19 | Professional | TC · Technical part | $158.49 | $269.15 | $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 $100.00 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $100.00 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $39.81 | $54.95 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $190.55 Median $234.42 Typical High $234.42 | Professional | CT · Older CT scanner | $190.55 | $234.42 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $177.83 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $177.83 | $218.78 | $218.78 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $426.58 Median $758.58 Typical High $891.25 | Professional | 50 · Both sides | $426.58 | $758.58 | $891.25 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $141.25 Median $257.04 Typical High $295.12 | Professional | 51 · Multiple procedures | $141.25 | $257.04 | $295.12 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $57.54 Median $102.33 Typical High $117.49 | Professional | 80 · Assistant surgeon | $57.54 | $102.33 | $117.49 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $39.81 Median $70.79 Typical High $83.18 | Professional | 81 · Minimal assistant surgeon | $39.81 | $70.79 | $83.18 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $39.81 Median $70.79 Typical High $83.18 | Professional | 82 · Assistant surgeon, no resident | $39.81 | $70.79 | $83.18 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $39.81 Median $70.79 Typical High $83.18 | Professional | AS · PA/NP assist | $39.81 | $70.79 | $83.18 |
Where South Carolina sits
The same service costs 5.1 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
$269
AK $776UT $151
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.