How much rates vary
Facilitymedian $759 · 10th to 90th $275 to $1,479Professionalmedian $162 · 10th to 90th $65 to $417
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 $204.17 Median $275.42 Typical High $2,041.74 | Facility | None | $204.17 | $275.42 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $275.42 Typical High $338.84 | Professional | None (both parts) | $154.88 | $275.42 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $83.18 Typical High $91.20 | Professional | 26 · Professional part | $56.23 | $83.18 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $190.55 Typical High $218.78 | Professional | TC · Technical part | $95.50 | $190.55 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $141.25 | $141.25 | $141.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $97.72 | Professional | 26 · Professional part | $53.70 | $53.70 | $97.72 |
BCBS South Carolina Setting Facility Modifier None Typical Low $407.38 Median $812.83 Typical High $1,412.54 | Facility | None | $407.38 | $812.83 | $1,412.54 |
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 $128.82 Median $331.13 Typical High $457.09 | Professional | None (both parts) | $128.82 | $331.13 | $457.09 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $128.82 Typical High $165.96 | Professional | 26 · Professional part | $53.70 | $128.82 | $165.96 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $194.98 Typical High $288.40 | Professional | TC · Technical part | $75.86 | $194.98 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $501.19 Typical High $741.31 | Facility | None | $323.59 | $501.19 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $251.19 Typical High $416.87 | Professional | None (both parts) | $158.49 | $251.19 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $67.61 Typical High $120.23 | Professional | 26 · Professional part | $54.95 | $67.61 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $199.53 Typical High $295.12 | Professional | TC · Technical part | $95.50 | $199.53 | $295.12 |
Medcost Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
Medcost Setting Facility Modifier None Typical Low $199.53 Median $275.42 Typical High $851.14 | Facility | None | $199.53 | $275.42 | $851.14 |
Medcost Setting Professional Modifier None (both parts) Typical Low $162.18 Median $426.58 Typical High $660.69 | Professional | None (both parts) | $162.18 | $426.58 | $660.69 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $100.00 Typical High $181.97 | Professional | 26 · Professional part | $85.11 | $100.00 | $181.97 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $251.19 Typical High $302.00 | Professional | TC · Technical part | $138.04 | $251.19 | $302.00 |
Molina Setting Professional Modifier None (both parts) Typical Low $51.29 Median $112.20 Typical High $223.87 | Professional | None (both parts) | $51.29 | $112.20 | $223.87 |
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 $141.25 Median $234.42 Typical High $416.87 | Professional | None (both parts) | $141.25 | $234.42 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $69.18 Typical High $123.03 | Professional | 26 · Professional part | $53.70 | $69.18 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $154.88 Typical High $316.23 | Professional | TC · Technical part | $81.28 | $154.88 | $316.23 |
9 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 $69.18 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $69.18 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $27.54 | $54.95 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $131.83 Median $234.42 Typical High $234.42 | Professional | CT · Older CT scanner | $131.83 | $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 51 · Multiple procedures Typical Low $100.00 Median $213.80 Typical High $331.13 | Professional | 51 · Multiple procedures | $100.00 | $213.80 | $331.13 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $39.81 Median $87.10 Typical High $131.83 | Professional | 80 · Assistant surgeon | $39.81 | $87.10 | $131.83 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $28.18 Median $60.26 Typical High $91.20 | Professional | 81 · Minimal assistant surgeon | $28.18 | $60.26 | $91.20 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $28.18 Median $60.26 Typical High $91.20 | Professional | 82 · Assistant surgeon, no resident | $28.18 | $60.26 | $91.20 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $28.18 Median $60.26 Typical High $91.20 | Professional | AS · PA/NP assist | $28.18 | $60.26 | $91.20 |
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· 38th of 51
$178
AK $537UT $100
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.