How much rates vary
Facilitymedian $1,122 · 10th to 90th $380 to $1,778Professionalmedian $331 · 10th to 90th $129 to $776
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 $478.63 Typical High $2,041.74 | Facility | None | $275.42 | $478.63 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $446.68 | Professional | None (both parts) | $275.42 | $275.42 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $147.91 | Professional | 26 · Professional part | $83.18 | $83.18 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $295.12 | Professional | TC · Technical part | $190.55 | $190.55 | $295.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $245.47 | $245.47 | $245.47 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $117.49 Typical High $199.53 | Professional | 26 · Professional part | $87.10 | $117.49 | $199.53 |
BCBS South Carolina Setting Facility Modifier None Typical Low $562.34 Median $1,148.15 Typical High $1,778.28 | Facility | None | $562.34 | $1,148.15 | $1,778.28 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | TC · Technical part | $812.83 | $812.83 | $812.83 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $309.03 Median $776.25 Typical High $1,071.52 | Professional | None (both parts) | $309.03 | $776.25 | $1,071.52 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $181.97 Typical High $239.88 | Professional | 26 · Professional part | $107.15 | $181.97 | $239.88 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $588.84 Typical High $741.31 | Professional | TC · Technical part | $199.53 | $588.84 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $1,318.26 Typical High $1,778.28 | Facility | None | $831.76 | $1,318.26 | $1,778.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $562.34 Typical High $870.96 | Professional | None (both parts) | $389.05 | $562.34 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $128.82 Typical High $245.47 | Professional | 26 · Professional part | $117.49 | $128.82 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $436.52 Typical High $645.65 | Professional | TC · Technical part | $263.03 | $436.52 | $645.65 |
Medcost Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
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 $331.13 Median $537.03 Typical High $575.44 | Professional | None (both parts) | $331.13 | $537.03 | $575.44 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $165.96 Typical High $275.42 | Professional | 26 · Professional part | $165.96 | $165.96 | $275.42 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $363.08 Typical High $512.86 | Professional | TC · Technical part | $288.40 | $363.08 | $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 $338.84 Median $588.84 Typical High $1,096.48 | Professional | None (both parts) | $338.84 | $588.84 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $138.04 Typical High $245.47 | Professional | 26 · Professional part | $107.15 | $138.04 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $389.05 Typical High $851.14 | Professional | TC · Technical part | $223.87 | $389.05 | $851.14 |
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 $239.88 | Professional | CT · Older CT scanner | $234.42 | $234.42 | $239.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $218.78 Typical High $223.87 | Professional | FX · Film X-ray | $218.78 | $218.78 | $223.87 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $204.17 Median $263.03 Typical High $363.08 | Professional | 51 · Multiple procedures | $204.17 | $263.03 | $363.08 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $81.28 Median $107.15 Typical High $131.83 | Professional | 80 · Assistant surgeon | $81.28 | $107.15 | $131.83 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $57.54 Median $74.13 Typical High $91.20 | Professional | 81 · Minimal assistant surgeon | $57.54 | $74.13 | $91.20 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $57.54 Median $74.13 Typical High $91.20 | Professional | 82 · Assistant surgeon, no resident | $57.54 | $74.13 | $91.20 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $57.54 Median $74.13 Typical High $91.20 | Professional | AS · PA/NP assist | $57.54 | $74.13 | $91.20 |
Where South Carolina sits
The same service costs 5.1 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· 44th of 51
$339
AK $1,047UT $204
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.