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 $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 $363.08 | Professional | None (both parts) | $331.13 | $331.13 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $31.62 | Professional | 26 · Professional part | $30.20 | $30.20 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $331.13 | Professional | TC · Technical part | $302.00 | $302.00 | $331.13 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,412.54 Median $3,019.95 Typical High $6,309.57 | Facility | None | $1,412.54 | $3,019.95 | $6,309.57 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | TC · Technical part | $1,000.00 | $1,000.00 | $1,000.00 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $251.19 Median $288.40 Typical High $446.68 | Professional | None (both parts) | $251.19 | $288.40 | $446.68 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $50.12 Typical High $75.86 | Professional | 26 · Professional part | $33.11 | $50.12 | $75.86 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $239.88 Typical High $323.59 | Professional | TC · Technical part | $177.83 | $239.88 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $3,801.89 Typical High $6,918.31 | Facility | None | $1,698.24 | $3,801.89 | $6,918.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $478.63 Typical High $1,000.00 | Professional | None (both parts) | $295.12 | $478.63 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $50.12 Typical High $89.13 | Professional | 26 · Professional part | $33.88 | $50.12 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $446.68 Typical High $912.01 | Professional | TC · Technical part | $245.47 | $446.68 | $912.01 |
Medcost Setting Facility Modifier None Typical Low $181.97 Median $446.68 Typical High $1,071.52 | Facility | None | $181.97 | $446.68 | $1,071.52 |
Medcost Setting Professional Modifier None (both parts) Typical Low $380.19 Median $426.58 Typical High $549.54 | Professional | None (both parts) | $380.19 | $426.58 | $549.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $56.23 Median $524.81 Typical High $724.44 | Professional | None (both parts) | $56.23 | $524.81 | $724.44 |
United Setting Facility Modifier None Typical Low $5,495.41 Median $6,606.93 Typical High $8,511.38 | Facility | None | $5,495.41 | $6,606.93 | $8,511.38 |
United Setting Professional Modifier None (both parts) Typical Low $363.08 Median $467.74 Typical High $794.33 | Professional | None (both parts) | $363.08 | $467.74 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $43.65 Typical High $69.18 | Professional | 26 · Professional part | $33.88 | $43.65 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $446.68 Typical High $724.44 | Professional | TC · Technical part | $331.13 | $446.68 | $724.44 |
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 $181.97 | Professional | 52 · Reduced service | $165.96 | $165.96 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $72.44 | Professional | 53 · Discontinued | $67.61 | $67.61 | $72.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $269.15 Median $269.15 Typical High $295.12 | Professional | FX · Film X-ray | $269.15 | $269.15 | $295.12 |
Where South Carolina sits
The same service costs 4.6 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
$468
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.