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 Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,570.40 | Professional | None | $2,344.23 | $2,344.23 | $2,570.40 |
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 $1,230.27 Median $1,288.25 Typical High $1,949.84 | Professional | None | $1,230.27 | $1,288.25 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $3,388.44 Median $3,981.07 Typical High $7,244.36 | Facility | None | $3,388.44 | $3,981.07 | $7,244.36 |
Medcost Setting Facility Modifier None Typical Low $912.01 Median $1,071.52 Typical High $1,230.27 | Facility | None | $912.01 | $1,071.52 | $1,230.27 |
Medcost Setting Professional Modifier None Typical Low $1,258.93 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,258.93 | $1,584.89 | $1,584.89 |
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 $954.99 Median $1,348.96 Typical High $1,995.26 | Professional | None | $954.99 | $1,348.96 | $1,995.26 |
4 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 Facility Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | 53 · Discontinued | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $446.68 Median $446.68 Typical High $537.03 | Professional | 52 · Reduced service | $446.68 | $446.68 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $213.80 | Professional | 53 · Discontinued | $181.97 | $181.97 | $213.80 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $724.44 Median $724.44 Typical High $851.14 | Professional | FX · Film X-ray | $724.44 | $724.44 | $851.14 |
Where South Carolina sits
The same service costs 70.8 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· 25th of 51
$1,585
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.