How much rates vary
Facilitymedian $363 · 10th to 90th $331 to $2,291Professionalmedian $427 · 10th to 90th $43 to $708
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 $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $407.38 | Professional | None (both parts) | $331.13 | $331.13 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $40.74 | Professional | 26 · Professional part | $31.62 | $31.62 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $371.54 | Professional | TC · Technical part | $302.00 | $302.00 | $371.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $54.95 | $66.07 | $66.07 |
BCBS South Carolina Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $2,290.87 | Facility | None | $954.99 | $954.99 | $2,290.87 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $363.08 Median $489.78 Typical High $741.31 | Professional | None (both parts) | $363.08 | $489.78 | $741.31 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $46.77 Typical High $77.62 | Professional | 26 · Professional part | $35.48 | $46.77 | $77.62 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $446.68 Typical High $501.19 | Professional | TC · Technical part | $323.59 | $446.68 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $489.78 Typical High $891.25 | Professional | None (both parts) | $426.58 | $489.78 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $46.77 Typical High $79.43 | Professional | 26 · Professional part | $38.02 | $46.77 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $446.68 Typical High $794.33 | Professional | TC · Technical part | $389.05 | $446.68 | $794.33 |
Medcost Setting Facility Modifier None Typical Low $331.13 Median $363.08 Typical High $691.83 | Facility | None | $331.13 | $363.08 | $691.83 |
Medcost Setting Professional Modifier None (both parts) Typical Low $446.68 Median $602.56 Typical High $741.31 | Professional | None (both parts) | $446.68 | $602.56 | $741.31 |
Molina Setting Professional Modifier None (both parts) Typical Low $35.48 Median $51.29 Typical High $66.07 | Professional | None (both parts) | $35.48 | $51.29 | $66.07 |
United Setting Professional Modifier None (both parts) Typical Low $363.08 Median $537.03 Typical High $776.25 | Professional | None (both parts) | $363.08 | $537.03 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $47.86 Typical High $75.86 | Professional | 26 · Professional part | $38.02 | $47.86 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $501.19 Typical High $707.95 | Professional | TC · Technical part | $323.59 | $501.19 | $707.95 |
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 $165.96 Median $165.96 Typical High $177.83 | Professional | 52 · Reduced service | $165.96 | $165.96 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $70.79 | Professional | 53 · Discontinued | $66.07 | $66.07 | $70.79 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $263.03 Median $263.03 Typical High $281.84 | Professional | FX · Film X-ray | $263.03 | $263.03 | $281.84 |
Where South Carolina sits
The same service costs 16.6 times more in Wisconsin than in Oregon. 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
$427
WI $1,202OR $72.44
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.