How much rates vary
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 $1,258.93 Typical High $2,630.27 | Facility | None | $275.42 | $1,258.93 | $2,630.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $331.13 | Professional | None (both parts) | $275.42 | $275.42 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $117.49 | Professional | 26 · Professional part | $83.18 | $83.18 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $190.55 Typical High $218.78 | Professional | TC · Technical part | $169.82 | $190.55 | $218.78 |
BCBS South Carolina Setting Facility Modifier None Typical Low $575.44 Median $1,071.52 Typical High $1,819.70 | Facility | None | $575.44 | $1,071.52 | $1,819.70 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | TC · Technical part | $549.54 | $549.54 | $549.54 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $275.42 Median $478.63 Typical High $645.65 | Professional | None (both parts) | $275.42 | $478.63 | $645.65 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $144.54 Typical High $190.55 | Professional | 26 · Professional part | $112.20 | $144.54 | $190.55 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $338.84 Typical High $426.58 | Professional | TC · Technical part | $165.96 | $338.84 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,348.96 Typical High $2,137.96 | Facility | None | $891.25 | $1,348.96 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $537.03 Typical High $1,122.02 | Professional | None (both parts) | $446.68 | $537.03 | $1,122.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $134.90 Typical High $257.04 | Professional | 26 · Professional part | $123.03 | $134.90 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $407.38 Typical High $870.96 | Professional | TC · Technical part | $323.59 | $407.38 | $870.96 |
Medcost Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Medcost Setting Facility Modifier None Typical Low $144.54 Median $363.08 Typical High $602.56 | Facility | None | $144.54 | $363.08 | $602.56 |
Medcost Setting Professional Modifier None (both parts) Typical Low $338.84 Median $575.44 Typical High $588.84 | Professional | None (both parts) | $338.84 | $575.44 | $588.84 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $173.78 Typical High $295.12 | Professional | 26 · Professional part | $173.78 | $173.78 | $295.12 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $407.38 Typical High $512.86 | Professional | TC · Technical part | $288.40 | $407.38 | $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 $446.68 Median $588.84 Typical High $1,047.13 | Professional | None (both parts) | $446.68 | $588.84 | $1,047.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $141.25 Typical High $257.04 | Professional | 26 · Professional part | $112.20 | $141.25 | $257.04 |
United Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $426.58 Typical High $794.33 | Professional | TC · Technical part | $323.59 | $426.58 | $794.33 |
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 $245.47 | Professional | CT · Older CT scanner | $234.42 | $234.42 | $245.47 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $218.78 Typical High $229.09 | Professional | FX · Film X-ray | $218.78 | $218.78 | $229.09 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $208.93 Median $288.40 Typical High $371.54 | Professional | 51 · Multiple procedures | $208.93 | $288.40 | $371.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $83.18 Median $114.82 Typical High $134.90 | Professional | 80 · Assistant surgeon | $83.18 | $114.82 | $134.90 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $58.88 Median $81.28 Typical High $93.33 | Professional | 81 · Minimal assistant surgeon | $58.88 | $81.28 | $93.33 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $58.88 Median $81.28 Typical High $93.33 | Professional | 82 · Assistant surgeon, no resident | $58.88 | $81.28 | $93.33 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $58.88 Median $81.28 Typical High $93.33 | Professional | AS · PA/NP assist | $58.88 | $81.28 | $93.33 |
Where South Carolina sits
The same service costs 8.1 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· 47th of 51
$302
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.