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 $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $60.26 | Professional | None (both parts) | $54.95 | $54.95 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $6.61 Typical High $7.08 | Professional | 26 · Professional part | $6.61 | $6.61 | $7.08 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $52.48 | Professional | TC · Technical part | $48.98 | $48.98 | $52.48 |
BCBS South Carolina Setting Facility Modifier None Typical Low $537.03 Median $1,122.02 Typical High $2,454.71 | Facility | None | $537.03 | $1,122.02 | $2,454.71 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | TC · Technical part | $371.54 | $371.54 | $371.54 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $47.86 Median $54.95 Typical High $79.43 | Professional | None (both parts) | $47.86 | $54.95 | $79.43 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $11.48 Typical High $16.98 | Professional | 26 · Professional part | $7.59 | $11.48 | $16.98 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $39.81 Typical High $66.07 | Professional | TC · Technical part | $37.15 | $39.81 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $3,801.89 Typical High $6,918.31 | Facility | None | $380.19 | $3,801.89 | $6,918.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $91.20 Typical High $165.96 | Professional | None (both parts) | $57.54 | $91.20 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.75 Typical High $19.95 | Professional | 26 · Professional part | $9.12 | $11.75 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $85.11 Typical High $147.91 | Professional | TC · Technical part | $42.66 | $85.11 | $147.91 |
Medcost Setting Facility Modifier None Typical Low $42.66 Median $74.13 Typical High $1,071.52 | Facility | None | $42.66 | $74.13 | $1,071.52 |
Medcost Setting Professional Modifier None (both parts) Typical Low $72.44 Median $79.43 Typical High $104.71 | Professional | None (both parts) | $72.44 | $79.43 | $104.71 |
Molina Setting Professional Modifier None (both parts) Typical Low $66.07 Median $102.33 Typical High $128.82 | Professional | None (both parts) | $66.07 | $102.33 | $128.82 |
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 $66.07 Median $81.28 Typical High $128.82 | Professional | None (both parts) | $66.07 | $81.28 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.47 Typical High $16.98 | Professional | 26 · Professional part | $8.13 | $10.47 | $16.98 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $70.79 Typical High $112.20 | Professional | TC · Technical part | $56.23 | $70.79 | $112.20 |
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 $27.54 Median $27.54 Typical High $30.20 | Professional | 52 · Reduced service | $27.54 | $27.54 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $12.02 | Professional | 53 · Discontinued | $10.96 | $10.96 | $12.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $44.67 Median $44.67 Typical High $47.86 | Professional | FX · Film X-ray | $44.67 | $44.67 | $47.86 |
Where South Carolina sits
The same service costs 8.1 times more in Alabama than in Indiana. 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· 34th of 51
$83.18
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.