How much rates vary
Facilitymedian $1,047 · 10th to 90th $372 to $1,778Professionalmedian $331 · 10th to 90th $129 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 $1,258.93 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 $371.54 | Professional | None (both parts) | $275.42 | $275.42 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $125.89 | Professional | 26 · Professional part | $83.18 | $83.18 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $190.55 Typical High $234.42 | Professional | TC · Technical part | $169.82 | $190.55 | $234.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $125.89 | $125.89 | $125.89 |
BCBS South Carolina Setting Facility Modifier None Typical Low $524.81 Median $1,000.00 Typical High $1,737.80 | Facility | None | $524.81 | $1,000.00 | $1,737.80 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | TC · Technical part | $512.86 | $512.86 | $512.86 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $288.40 Median $446.68 Typical High $602.56 | Professional | None (both parts) | $288.40 | $446.68 | $602.56 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $144.54 Typical High $194.98 | Professional | 26 · Professional part | $114.82 | $144.54 | $194.98 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $302.00 Typical High $389.05 | Professional | TC · Technical part | $177.83 | $302.00 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,148.15 Typical High $1,778.28 | Facility | None | $741.31 | $1,148.15 | $1,778.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $407.38 Typical High $776.25 | Professional | None (both parts) | $354.81 | $407.38 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $134.90 Typical High $263.03 | Professional | 26 · Professional part | $125.89 | $134.90 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $257.04 Typical High $489.78 | Professional | TC · Technical part | $229.09 | $257.04 | $489.78 |
Medcost Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Medcost Setting Facility Modifier None Typical Low $275.42 Median $371.54 Typical High $1,148.15 | Facility | None | $275.42 | $371.54 | $1,148.15 |
Medcost Setting Professional Modifier None (both parts) Typical Low $338.84 Median $512.86 Typical High $588.84 | Professional | None (both parts) | $338.84 | $512.86 | $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 $338.84 Typical High $512.86 | Professional | TC · Technical part | $288.40 | $338.84 | $512.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $114.82 Median $245.47 Typical High $467.74 | Professional | None (both parts) | $114.82 | $245.47 | $467.74 |
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 $316.23 Median $446.68 Typical High $758.58 | Professional | None (both parts) | $316.23 | $446.68 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $144.54 Typical High $257.04 | Professional | 26 · Professional part | $112.20 | $144.54 | $257.04 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $281.84 Typical High $524.81 | Professional | TC · Technical part | $190.55 | $281.84 | $524.81 |
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 $234.42 | Professional | FX · Film X-ray | $218.78 | $218.78 | $234.42 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $208.93 Median $257.04 Typical High $371.54 | Professional | 51 · Multiple procedures | $208.93 | $257.04 | $371.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $85.11 Median $102.33 Typical High $134.90 | Professional | 80 · Assistant surgeon | $85.11 | $102.33 | $134.90 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $58.88 Median $72.44 Typical High $93.33 | Professional | 81 · Minimal assistant surgeon | $58.88 | $72.44 | $93.33 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $58.88 Median $72.44 Typical High $93.33 | Professional | 82 · Assistant surgeon, no resident | $58.88 | $72.44 | $93.33 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $58.88 Median $72.44 Typical High $93.33 | Professional | AS · PA/NP assist | $58.88 | $72.44 | $93.33 |
Where South Carolina sits
The same service costs 5.8 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· 41st of 51
$339
AK $1,148TX $200
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.