How much rates vary
Facilitymedian $1,122 · 10th to 90th $457 to $1,995Professionalmedian $295 · 10th to 90th $132 to $550
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 $478.63 | Professional | None (both parts) | $275.42 | $275.42 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $104.71 | Professional | 26 · Professional part | $83.18 | $83.18 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $354.81 | Professional | TC · Technical part | $190.55 | $190.55 | $354.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $229.09 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $229.09 | $316.23 | $316.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $147.91 Typical High $147.91 | Professional | 26 · Professional part | $89.13 | $147.91 | $147.91 |
BCBS South Carolina Setting Facility Modifier None Typical Low $602.56 Median $1,174.90 Typical High $1,995.26 | Facility | None | $602.56 | $1,174.90 | $1,995.26 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | TC · Technical part | $478.63 | $478.63 | $478.63 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $245.47 Median $398.11 Typical High $602.56 | Professional | None (both parts) | $245.47 | $398.11 | $602.56 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $81.28 Typical High $173.78 | Professional | 26 · Professional part | $67.61 | $81.28 | $173.78 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $302.00 Typical High $389.05 | Professional | TC · Technical part | $165.96 | $302.00 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $891.25 Typical High $1,445.44 | Facility | None | $870.96 | $891.25 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $501.19 Typical High $812.83 | Professional | None (both parts) | $346.74 | $501.19 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $102.33 Typical High $186.21 | Professional | 26 · Professional part | $87.10 | $102.33 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $407.38 Typical High $616.60 | Professional | TC · Technical part | $239.88 | $407.38 | $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 $295.12 Median $616.60 Typical High $870.96 | Professional | None (both parts) | $295.12 | $616.60 | $870.96 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $154.88 Typical High $223.87 | Professional | 26 · Professional part | $134.90 | $154.88 | $223.87 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $446.68 Typical High $467.74 | Professional | TC · Technical part | $288.40 | $446.68 | $467.74 |
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 $302.00 Median $467.74 Typical High $812.83 | Professional | None (both parts) | $302.00 | $467.74 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $107.15 Typical High $190.55 | Professional | 26 · Professional part | $83.18 | $107.15 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $371.54 Typical High $660.69 | Professional | TC · Technical part | $213.80 | $371.54 | $660.69 |
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 $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 51 · Multiple procedures Typical Low $186.21 Median $309.03 Typical High $436.52 | Professional | 51 · Multiple procedures | $186.21 | $309.03 | $436.52 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $74.13 Median $123.03 Typical High $173.78 | Professional | 80 · Assistant surgeon | $74.13 | $123.03 | $173.78 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $52.48 Median $87.10 Typical High $120.23 | Professional | 81 · Minimal assistant surgeon | $52.48 | $87.10 | $120.23 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $52.48 Median $87.10 Typical High $120.23 | Professional | 82 · Assistant surgeon, no resident | $52.48 | $87.10 | $120.23 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $52.48 Median $87.10 Typical High $120.23 | Professional | AS · PA/NP assist | $52.48 | $87.10 | $120.23 |
Where South Carolina sits
The same service costs 6.0 times more in Alaska than in Texas. 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
$309
AK $1,023TX $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.