How much rates vary
Facilitymedian $1,698 · 10th to 90th $407 to $3,311Professionalmedian $407 · 10th to 90th $132 to $851
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 $562.34 Typical High $2,041.74 | Facility | None | $275.42 | $562.34 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $602.56 | Professional | None (both parts) | $275.42 | $275.42 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $141.25 | Professional | 26 · Professional part | $83.18 | $83.18 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $218.78 Typical High $489.78 | Professional | TC · Technical part | $190.55 | $218.78 | $489.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $151.36 Typical High $181.97 | Professional | 26 · Professional part | $79.43 | $151.36 | $181.97 |
BCBS South Carolina Setting Facility Modifier None Typical Low $724.44 Median $1,778.28 Typical High $3,467.37 | Facility | None | $724.44 | $1,778.28 | $3,467.37 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | TC · Technical part | $831.76 | $831.76 | $831.76 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $354.81 Median $660.69 Typical High $1,096.48 | Professional | None (both parts) | $354.81 | $660.69 | $1,096.48 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $128.82 Typical High $331.13 | Professional | 26 · Professional part | $97.72 | $128.82 | $331.13 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $537.03 Typical High $724.44 | Professional | TC · Technical part | $257.04 | $537.03 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,698.24 Typical High $1,778.28 | Facility | None | $1,096.48 | $1,698.24 | $1,778.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $575.44 Typical High $977.24 | Professional | None (both parts) | $426.58 | $575.44 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $123.03 Typical High $218.78 | Professional | 26 · Professional part | $112.20 | $123.03 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $457.09 Typical High $741.31 | Professional | TC · Technical part | $309.03 | $457.09 | $741.31 |
Medcost Setting Facility Modifier None Typical Low $275.42 Median $562.34 Typical High $2,511.89 | Facility | None | $275.42 | $562.34 | $2,511.89 |
Medcost Setting Professional Modifier None (both parts) Typical Low $446.68 Median $776.25 Typical High $812.83 | Professional | None (both parts) | $446.68 | $776.25 | $812.83 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $151.36 Typical High $239.88 | Professional | 26 · Professional part | $151.36 | $151.36 | $239.88 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $616.60 Typical High $741.31 | Professional | TC · Technical part | $467.74 | $616.60 | $741.31 |
Molina Setting Professional Modifier None (both parts) Typical Low $114.82 Median $331.13 Typical High $588.84 | Professional | None (both parts) | $114.82 | $331.13 | $588.84 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $1,778.28 Typical High $2,344.23 | Facility | None | $1,479.11 | $1,778.28 | $2,344.23 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $562.34 Typical High $1,000.00 | Professional | None (both parts) | $380.19 | $562.34 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $128.82 Typical High $223.87 | Professional | 26 · Professional part | $102.33 | $128.82 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $436.52 Typical High $741.31 | Professional | TC · Technical part | $269.15 | $436.52 | $741.31 |
7 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 CT · Older CT scanner Typical Low $234.42 Median $234.42 Typical High $331.13 | Professional | CT · Older CT scanner | $234.42 | $234.42 | $331.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $218.78 Typical High $309.03 | Professional | FX · Film X-ray | $218.78 | $218.78 | $309.03 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $275.42 Median $389.05 Typical High $478.63 | Professional | 51 · Multiple procedures | $275.42 | $389.05 | $478.63 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $112.20 Median $154.88 Typical High $162.18 | Professional | 80 · Assistant surgeon | $112.20 | $154.88 | $162.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $77.62 Median $107.15 Typical High $112.20 | Professional | 81 · Minimal assistant surgeon | $77.62 | $107.15 | $112.20 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $77.62 Median $107.15 Typical High $112.20 | Professional | 82 · Assistant surgeon, no resident | $77.62 | $107.15 | $112.20 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $77.62 Median $107.15 Typical High $112.20 | Professional | AS · PA/NP assist | $77.62 | $107.15 | $112.20 |
Where South Carolina sits
The same service costs 5.0 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· 45th of 51
$427
AK $1,288UT $257
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.