How much rates vary
Facilitymedian $1,047 · 10th to 90th $347 to $1,905Professionalmedian $275 · 10th to 90th $158 to $603
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 $346.74 Typical High $2,041.74 | Facility | None | $275.42 | $346.74 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $275.42 Typical High $371.54 | Professional | None (both parts) | $263.03 | $275.42 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $83.18 Typical High $91.20 | Professional | 26 · Professional part | $58.88 | $83.18 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $309.03 | Professional | TC · Technical part | $190.55 | $190.55 | $309.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $213.80 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $213.80 | $398.11 | $398.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $57.54 Typical High $104.71 | Professional | 26 · Professional part | $45.71 | $57.54 | $104.71 |
BCBS South Carolina Setting Facility Modifier None Typical Low $512.86 Median $1,122.02 Typical High $1,905.46 | Facility | None | $512.86 | $1,122.02 | $1,905.46 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | TC · Technical part | $691.83 | $691.83 | $691.83 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $213.80 Median $389.05 Typical High $630.96 | Professional | None (both parts) | $213.80 | $389.05 | $630.96 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $112.20 Typical High $147.91 | Professional | 26 · Professional part | $57.54 | $112.20 | $147.91 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $275.42 Typical High $501.19 | Professional | TC · Technical part | $158.49 | $275.42 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $891.25 Typical High $1,047.13 | Facility | None | $676.08 | $891.25 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $323.59 Typical High $602.56 | Professional | None (both parts) | $245.47 | $323.59 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $72.44 Typical High $128.82 | Professional | 26 · Professional part | $58.88 | $72.44 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $269.15 Typical High $446.68 | Professional | TC · Technical part | $177.83 | $269.15 | $446.68 |
Medcost Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Medcost Setting Facility Modifier None Typical Low $269.15 Median $309.03 Typical High $1,318.26 | Facility | None | $269.15 | $309.03 | $1,318.26 |
Medcost Setting Professional Modifier None (both parts) Typical Low $269.15 Median $512.86 Typical High $724.44 | Professional | None (both parts) | $269.15 | $512.86 | $724.44 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $107.15 Typical High $213.80 | Professional | 26 · Professional part | $91.20 | $107.15 | $213.80 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $363.08 Typical High $436.52 | Professional | TC · Technical part | $288.40 | $363.08 | $436.52 |
Molina Setting Professional Modifier None (both parts) Typical Low $51.29 Median $239.88 Typical High $389.05 | Professional | None (both parts) | $51.29 | $239.88 | $389.05 |
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 $229.09 Median $323.59 Typical High $549.54 | Professional | None (both parts) | $229.09 | $323.59 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $74.13 Typical High $131.83 | Professional | 26 · Professional part | $57.54 | $74.13 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $251.19 Typical High $426.58 | Professional | TC · Technical part | $169.82 | $251.19 | $426.58 |
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 $114.82 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $114.82 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $45.71 | $54.95 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $204.17 Median $234.42 Typical High $234.42 | Professional | CT · Older CT scanner | $204.17 | $234.42 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $190.55 | $218.78 | $218.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $165.96 Median $251.19 Typical High $363.08 | Professional | 51 · Multiple procedures | $165.96 | $251.19 | $363.08 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $66.07 Median $102.33 Typical High $144.54 | Professional | 80 · Assistant surgeon | $66.07 | $102.33 | $144.54 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $46.77 Median $70.79 Typical High $102.33 | Professional | 81 · Minimal assistant surgeon | $46.77 | $70.79 | $102.33 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $46.77 Median $70.79 Typical High $102.33 | Professional | 82 · Assistant surgeon, no resident | $46.77 | $70.79 | $102.33 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $46.77 Median $70.79 Typical High $102.33 | Professional | AS · PA/NP assist | $46.77 | $70.79 | $102.33 |
Where South Carolina sits
The same service costs 4.5 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· 36th of 51
$288
AK $794UT $178
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.