How much rates vary
Facilitymedian $1,148 · 10th to 90th $417 to $2,042Professionalmedian $295 · 10th to 90th $129 to $537
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 $275.42 Median $275.42 Typical High $457.09 | Professional | None (both parts) | $275.42 | $275.42 | $457.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $107.15 | Professional | 26 · Professional part | $83.18 | $83.18 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $363.08 | Professional | TC · Technical part | $190.55 | $190.55 | $363.08 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $67.61 | $85.11 | $85.11 |
BCBS South Carolina Setting Facility Modifier None Typical Low $549.54 Median $1,202.26 Typical High $2,041.74 | Facility | None | $549.54 | $1,202.26 | $2,041.74 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | TC · Technical part | $457.09 | $457.09 | $457.09 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $251.19 Median $338.84 Typical High $457.09 | Professional | None (both parts) | $251.19 | $338.84 | $457.09 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $85.11 Typical High $165.96 | Professional | 26 · Professional part | $67.61 | $85.11 | $165.96 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $199.53 Typical High $281.84 | Professional | TC · Technical part | $165.96 | $199.53 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $933.25 Typical High $1,445.44 | Facility | None | $891.25 | $933.25 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $478.63 Typical High $831.76 | Professional | None (both parts) | $346.74 | $478.63 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $104.71 Typical High $190.55 | Professional | 26 · Professional part | $87.10 | $104.71 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $389.05 Typical High $616.60 | Professional | TC · Technical part | $263.03 | $389.05 | $616.60 |
Medcost Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Medcost Setting Facility Modifier None Typical Low $275.42 Median $416.87 Typical High $1,513.56 | Facility | None | $275.42 | $416.87 | $1,513.56 |
Medcost Setting Professional Modifier None (both parts) Typical Low $302.00 Median $616.60 Typical High $794.33 | Professional | None (both parts) | $302.00 | $616.60 | $794.33 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $158.49 Typical High $218.78 | Professional | 26 · Professional part | $123.03 | $158.49 | $218.78 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $446.68 Typical High $512.86 | Professional | TC · Technical part | $288.40 | $446.68 | $512.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $114.82 Median $208.93 Typical High $416.87 | Professional | None (both parts) | $114.82 | $208.93 | $416.87 |
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 $331.13 Median $467.74 Typical High $812.83 | Professional | None (both parts) | $331.13 | $467.74 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $109.65 Typical High $194.98 | Professional | 26 · Professional part | $85.11 | $109.65 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $363.08 Typical High $660.69 | Professional | TC · Technical part | $239.88 | $363.08 | $660.69 |
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 $128.82 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $128.82 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $51.29 | $54.95 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | CT · Older CT scanner | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $218.78 | $218.78 | $218.78 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $562.34 Median $912.01 Typical High $1,202.26 | Professional | 50 · Both sides | $562.34 | $912.01 | $1,202.26 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $186.21 Median $309.03 Typical High $398.11 | Professional | 51 · Multiple procedures | $186.21 | $309.03 | $398.11 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $75.86 Median $123.03 Typical High $158.49 | Professional | 80 · Assistant surgeon | $75.86 | $123.03 | $158.49 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $52.48 Median $85.11 Typical High $112.20 | Professional | 81 · Minimal assistant surgeon | $52.48 | $85.11 | $112.20 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $52.48 Median $85.11 Typical High $112.20 | Professional | 82 · Assistant surgeon, no resident | $52.48 | $85.11 | $112.20 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $52.48 Median $85.11 Typical High $112.20 | Professional | AS · PA/NP assist | $52.48 | $85.11 | $112.20 |
Where South Carolina sits
The same service costs 6.2 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· 46th of 51
$309
AK $1,047UT $170
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.