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 $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $61.66 | Professional | None (both parts) | $56.23 | $56.23 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.13 Typical High $8.51 | Professional | 26 · Professional part | $8.13 | $8.13 | $8.51 |
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 $549.54 Median $1,122.02 Typical High $2,454.71 | Facility | None | $549.54 | $1,122.02 | $2,454.71 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | TC · Technical part | $389.05 | $389.05 | $389.05 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $67.61 Median $81.28 Typical High $131.83 | Professional | None (both parts) | $67.61 | $81.28 | $131.83 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $25.70 Typical High $25.70 | Professional | 26 · Professional part | $8.91 | $25.70 | $25.70 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $58.88 Typical High $70.79 | Professional | TC · Technical part | $54.95 | $58.88 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $1,174.90 Typical High $2,137.96 | Facility | None | $380.19 | $1,174.90 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $100.00 Typical High $169.82 | Professional | None (both parts) | $75.86 | $100.00 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $14.13 Typical High $23.99 | Professional | 26 · Professional part | $10.47 | $14.13 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $85.11 Typical High $147.91 | Professional | TC · Technical part | $66.07 | $85.11 | $147.91 |
Medcost Setting Facility Modifier None Typical Low $56.23 Median $77.62 Typical High $309.03 | Facility | None | $56.23 | $77.62 | $309.03 |
Medcost Setting Professional Modifier None (both parts) Typical Low $89.13 Median $112.20 Typical High $123.03 | Professional | None (both parts) | $89.13 | $112.20 | $123.03 |
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 $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 $67.61 Median $97.72 Typical High $141.25 | Professional | None (both parts) | $67.61 | $97.72 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.30 Typical High $20.89 | Professional | 26 · Professional part | $9.77 | $12.30 | $20.89 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $85.11 Typical High $120.23 | Professional | TC · Technical part | $57.54 | $85.11 | $120.23 |
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 $28.18 Median $28.18 Typical High $30.90 | Professional | 52 · Reduced service | $28.18 | $28.18 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $12.30 | Professional | 53 · Discontinued | $11.48 | $11.48 | $12.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $45.71 Median $45.71 Typical High $48.98 | Professional | FX · Film X-ray | $45.71 | $45.71 | $48.98 |
Where South Carolina sits
The same service costs 7.2 times more in Alabama than in Texas. 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· 32nd of 51
$97.72
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.