How much rates vary
Facilitymedian $204 · 10th to 90th $83 to $398Professionalmedian $100 · 10th to 90th $65 to $191
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 $147.91 Median $275.42 Typical High $2,041.74 | Facility | None | $147.91 | $275.42 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $79.43 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $27.54 | $83.18 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $190.55 Typical High $190.55 | Professional | TC · Technical part | $52.48 | $190.55 | $190.55 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $31.62 | Professional | 26 · Professional part | $20.89 | $20.89 | $31.62 |
BCBS South Carolina Setting Facility Modifier None Typical Low $81.28 Median $169.82 Typical High $275.42 | Facility | None | $81.28 | $169.82 | $275.42 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | TC · Technical part | $95.50 | $95.50 | $95.50 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $83.18 Median $89.13 Typical High $128.82 | Professional | None (both parts) | $83.18 | $89.13 | $128.82 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.11 Typical High $44.67 | Professional | 26 · Professional part | $26.30 | $33.11 | $44.67 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $53.70 Typical High $77.62 | Professional | TC · Technical part | $51.29 | $53.70 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $446.68 Typical High $457.09 | Facility | None | $288.40 | $446.68 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $107.15 Typical High $229.09 | Professional | None (both parts) | $87.10 | $107.15 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $31.62 Typical High $67.61 | Professional | 26 · Professional part | $28.84 | $31.62 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $75.86 Typical High $169.82 | Professional | TC · Technical part | $58.88 | $75.86 | $169.82 |
Medcost Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
Medcost Setting Facility Modifier None Typical Low $64.57 Median $275.42 Typical High $371.54 | Facility | None | $64.57 | $275.42 | $371.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $95.50 Median $100.00 Typical High $208.93 | Professional | None (both parts) | $95.50 | $100.00 | $208.93 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $67.61 | Professional | 26 · Professional part | $39.81 | $39.81 | $67.61 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $61.66 Typical High $186.21 | Professional | TC · Technical part | $58.88 | $61.66 | $186.21 |
Molina Setting Professional Modifier None (both parts) Typical Low $51.29 Median $100.00 Typical High $169.82 | Professional | None (both parts) | $51.29 | $100.00 | $169.82 |
United Setting Facility Modifier None Typical Low $363.08 Median $446.68 Typical High $575.44 | Facility | None | $363.08 | $446.68 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $114.82 Typical High $208.93 | Professional | None (both parts) | $85.11 | $114.82 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.11 Typical High $58.88 | Professional | 26 · Professional part | $25.70 | $33.11 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $81.28 Typical High $147.91 | Professional | TC · Technical part | $60.26 | $81.28 | $147.91 |
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 $85.11 Median $234.42 Typical High $234.42 | Professional | CT · Older CT scanner | $85.11 | $234.42 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $79.43 | $218.78 | $218.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $47.86 Median $50.12 Typical High $125.89 | Professional | 51 · Multiple procedures | $47.86 | $50.12 | $125.89 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $19.05 Median $20.42 Typical High $41.69 | Professional | 80 · Assistant surgeon | $19.05 | $20.42 | $41.69 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $13.49 Median $14.13 Typical High $28.84 | Professional | 81 · Minimal assistant surgeon | $13.49 | $14.13 | $28.84 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $13.49 Median $14.13 Typical High $28.84 | Professional | 82 · Assistant surgeon, no resident | $13.49 | $14.13 | $28.84 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $13.49 Median $14.13 Typical High $28.84 | Professional | AS · PA/NP assist | $13.49 | $14.13 | $28.84 |
Where South Carolina sits
The same service costs 4.2 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· 42nd of 51
$100
AK $316UT $75.86
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.