How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $208.93 | Professional | None (both parts) | $186.21 | $186.21 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.05 Typical High $28.84 | Professional | 26 · Professional part | $19.05 | $19.05 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $186.21 | Professional | TC · Technical part | $165.96 | $165.96 | $186.21 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $74.13 Median $199.53 Typical High $263.03 | Professional | None (both parts) | $74.13 | $199.53 | $263.03 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.20 Typical High $42.66 | Professional | 26 · Professional part | $21.88 | $30.20 | $42.66 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $169.82 Typical High $213.80 | Professional | TC · Technical part | $43.65 | $169.82 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $194.98 Typical High $389.05 | Professional | None (both parts) | $120.23 | $194.98 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $27.54 Typical High $46.77 | Professional | 26 · Professional part | $22.39 | $27.54 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $158.49 Typical High $354.81 | Professional | TC · Technical part | $97.72 | $158.49 | $354.81 |
Medcost Setting Facility Modifier None Typical Low $79.43 Median $194.98 Typical High $602.56 | Facility | None | $79.43 | $194.98 | $602.56 |
Medcost Setting Professional Modifier None (both parts) Typical Low $134.90 Median $223.87 Typical High $302.00 | Professional | None (both parts) | $134.90 | $223.87 | $302.00 |
Molina Setting Professional Modifier None (both parts) Typical Low $190.55 Median $281.84 Typical High $380.19 | Professional | None (both parts) | $190.55 | $281.84 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $208.93 Typical High $380.19 | Professional | None (both parts) | $138.04 | $208.93 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $28.18 Typical High $45.71 | Professional | 26 · Professional part | $22.91 | $28.18 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $186.21 Typical High $338.84 | Professional | TC · Technical part | $123.03 | $186.21 | $338.84 |
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 52 · Reduced service Typical Low $93.33 Median $93.33 Typical High $104.71 | Professional | 52 · Reduced service | $93.33 | $93.33 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $41.69 | Professional | 53 · Discontinued | $37.15 | $37.15 | $41.69 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $147.91 Median $147.91 Typical High $165.96 | Professional | FX · Film X-ray | $147.91 | $147.91 | $165.96 |
Where South Carolina sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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· 38th of 51
$214
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.