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 $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $2,398.83 | Professional | None | $812.83 | $812.83 | $2,398.83 |
BCBS South Carolina Setting Facility Modifier None Typical Low $2,630.27 Median $3,890.45 Typical High $7,413.10 | Facility | None | $2,630.27 | $3,890.45 | $7,413.10 |
BCBS South Carolina Setting Professional Modifier None Typical Low $1,047.13 Median $1,202.26 Typical High $1,905.46 | Professional | None | $1,047.13 | $1,202.26 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $3,388.44 Median $3,981.07 Typical High $6,918.31 | Facility | None | $3,388.44 | $3,981.07 | $6,918.31 |
Medcost Setting Facility Modifier None Typical Low $812.83 Median $1,000.00 Typical High $1,096.48 | Facility | None | $812.83 | $1,000.00 | $1,096.48 |
Medcost Setting Professional Modifier None Typical Low $1,122.02 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,122.02 | $1,445.44 | $1,445.44 |
United Setting Facility Modifier None Typical Low $5,248.07 Median $6,309.57 Typical High $8,317.64 | Facility | None | $5,248.07 | $6,309.57 | $8,317.64 |
United Setting Professional Modifier None Typical Low $134.90 Median $977.24 Typical High $1,737.80 | Professional | None | $134.90 | $977.24 | $1,737.80 |
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 $407.38 Median $407.38 Typical High $489.78 | Professional | 52 · Reduced service | $407.38 | $407.38 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $162.18 Typical High $194.98 | Professional | 53 · Discontinued | $162.18 | $162.18 | $194.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $645.65 Median $645.65 Typical High $776.25 | Professional | FX · Film X-ray | $645.65 | $645.65 | $776.25 |
Where South Carolina sits
The same service costs 64.6 times more in Alaska than in New York. 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· 30th of 51
$1,318
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.