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 $389.05 Typical High $2,041.74 | Facility | None | $275.42 | $389.05 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $302.00 Typical High $562.34 | Professional | None (both parts) | $275.42 | $302.00 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $158.49 | Professional | 26 · Professional part | $83.18 | $83.18 | $158.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $218.78 Typical High $407.38 | Professional | TC · Technical part | $190.55 | $218.78 | $407.38 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $229.09 Median $309.03 Typical High $512.86 | Professional | None (both parts) | $229.09 | $309.03 | $512.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $81.28 Typical High $151.36 | Professional | 26 · Professional part | $66.07 | $81.28 | $151.36 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $239.88 Typical High $281.84 | Professional | TC · Technical part | $199.53 | $239.88 | $281.84 |
BCBS South Carolina Setting Facility Modifier None Typical Low $977.24 Median $2,290.87 Typical High $3,467.37 | Facility | None | $977.24 | $2,290.87 | $3,467.37 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | TC · Technical part | $870.96 | $870.96 | $870.96 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $281.84 Median $776.25 Typical High $1,023.29 | Professional | None (both parts) | $281.84 | $776.25 | $1,023.29 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $199.53 Typical High $275.42 | Professional | 26 · Professional part | $81.28 | $199.53 | $275.42 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $549.54 Typical High $676.08 | Professional | TC · Technical part | $199.53 | $549.54 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,348.96 Typical High $1,995.26 | Facility | None | $851.14 | $1,348.96 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $354.81 Typical High $691.83 | Professional | None (both parts) | $331.13 | $354.81 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $102.33 Typical High $186.21 | Professional | 26 · Professional part | $95.50 | $102.33 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $263.03 Typical High $512.86 | Professional | TC · Technical part | $234.42 | $263.03 | $512.86 |
Medcost Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
Medcost Setting Facility Modifier None Typical Low $275.42 Median $371.54 Typical High $2,511.89 | Facility | None | $275.42 | $371.54 | $2,511.89 |
Medcost Setting Professional Modifier None (both parts) Typical Low $354.81 Median $489.78 Typical High $645.65 | Professional | None (both parts) | $354.81 | $489.78 | $645.65 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $389.05 | Professional | 26 · Professional part | $128.82 | $128.82 | $389.05 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $354.81 Typical High $457.09 | Professional | TC · Technical part | $346.74 | $354.81 | $457.09 |
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 $302.00 Median $380.19 Typical High $645.65 | Professional | None (both parts) | $302.00 | $380.19 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $107.15 Typical High $186.21 | Professional | 26 · Professional part | $85.11 | $107.15 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $269.15 Typical High $457.09 | Professional | TC · Technical part | $213.80 | $269.15 | $457.09 |
3 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 $269.15 | Professional | CT · Older CT scanner | $234.42 | $234.42 | $269.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $218.78 Typical High $251.19 | Professional | FX · Film X-ray | $218.78 | $218.78 | $251.19 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $223.87 Median $245.47 Typical High $323.59 | Professional | 51 · Multiple procedures | $223.87 | $245.47 | $323.59 |
Where South Carolina sits
The same service costs 15.8 times more in Vermont 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· 43rd of 51
$339
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.