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 $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $190.55 | Professional | None (both parts) | $173.78 | $173.78 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $28.84 | Professional | 26 · Professional part | $27.54 | $27.54 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $162.18 | Professional | TC · Technical part | $147.91 | $147.91 | $162.18 |
BCBS South Carolina Setting Facility Modifier None Typical Low $478.63 Median $954.99 Typical High $1,995.26 | Facility | None | $478.63 | $954.99 | $1,995.26 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | TC · Technical part | $323.59 | $323.59 | $323.59 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $138.04 Median $158.49 Typical High $234.42 | Professional | None (both parts) | $138.04 | $158.49 | $234.42 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $37.15 Typical High $58.88 | Professional | 26 · Professional part | $30.20 | $37.15 | $58.88 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $114.82 Typical High $190.55 | Professional | TC · Technical part | $102.33 | $114.82 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $1,071.52 Median $1,174.90 Typical High $2,137.96 | Facility | None | $1,071.52 | $1,174.90 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $239.88 Typical High $524.81 | Professional | None (both parts) | $162.18 | $239.88 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $44.67 Typical High $81.28 | Professional | 26 · Professional part | $30.90 | $44.67 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $208.93 Typical High $446.68 | Professional | TC · Technical part | $117.49 | $208.93 | $446.68 |
Medcost Setting Facility Modifier None Typical Low $123.03 Median $234.42 Typical High $562.34 | Facility | None | $123.03 | $234.42 | $562.34 |
Medcost Setting Professional Modifier None (both parts) Typical Low $208.93 Median $223.87 Typical High $281.84 | Professional | None (both parts) | $208.93 | $223.87 | $281.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $56.23 Median $239.88 Typical High $363.08 | Professional | None (both parts) | $56.23 | $239.88 | $363.08 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $2,041.74 Typical High $2,630.27 | Facility | None | $1,698.24 | $2,041.74 | $2,630.27 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $245.47 Typical High $398.11 | Professional | None (both parts) | $186.21 | $245.47 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.90 Typical High $61.66 | Professional | 26 · Professional part | $30.20 | $38.90 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $208.93 Typical High $338.84 | Professional | TC · Technical part | $154.88 | $208.93 | $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 $87.10 Median $87.10 Typical High $95.50 | Professional | 52 · Reduced service | $87.10 | $87.10 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $38.02 | Professional | 53 · Discontinued | $34.67 | $34.67 | $38.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $141.25 Median $141.25 Typical High $151.36 | Professional | FX · Film X-ray | $141.25 | $141.25 | $151.36 |
Where South Carolina sits
The same service costs 4.9 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· 37th of 51
$234
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.