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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $95.50 | Professional | None (both parts) | $89.13 | $89.13 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $22.39 | Professional | 26 · Professional part | $20.89 | $20.89 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $74.13 | Professional | TC · Technical part | $67.61 | $67.61 | $74.13 |
BCBS South Carolina Setting Facility Modifier None Typical Low $616.60 Median $1,174.90 Typical High $2,398.83 | Facility | None | $616.60 | $1,174.90 | $2,398.83 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | TC · Technical part | $436.52 | $436.52 | $436.52 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $102.33 Median $186.21 Typical High $245.47 | Professional | None (both parts) | $102.33 | $186.21 | $245.47 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $34.67 Typical High $56.23 | Professional | 26 · Professional part | $23.44 | $34.67 | $56.23 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $151.36 Typical High $194.98 | Professional | TC · Technical part | $79.43 | $151.36 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,174.90 Typical High $2,137.96 | Facility | None | $512.86 | $1,174.90 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $177.83 Typical High $269.15 | Professional | None (both parts) | $144.54 | $177.83 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $36.31 Typical High $61.66 | Professional | 26 · Professional part | $28.18 | $36.31 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $138.04 Typical High $204.17 | Professional | TC · Technical part | $114.82 | $138.04 | $204.17 |
Medcost Setting Facility Modifier None Typical Low $89.13 Median $151.36 Typical High $309.03 | Facility | None | $89.13 | $151.36 | $309.03 |
Medcost Setting Professional Modifier None (both parts) Typical Low $141.25 Median $186.21 Typical High $281.84 | Professional | None (both parts) | $141.25 | $186.21 | $281.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $56.23 Median $154.88 Typical High $245.47 | Professional | None (both parts) | $56.23 | $154.88 | $245.47 |
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 $104.71 Median $141.25 Typical High $251.19 | Professional | None (both parts) | $104.71 | $141.25 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $32.36 Typical High $54.95 | Professional | 26 · Professional part | $25.70 | $32.36 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $109.65 Typical High $199.53 | Professional | TC · Technical part | $79.43 | $109.65 | $199.53 |
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 $44.67 Median $44.67 Typical High $47.86 | Professional | 52 · Reduced service | $44.67 | $44.67 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $19.05 | Professional | 53 · Discontinued | $17.78 | $17.78 | $19.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $70.79 Typical High $77.62 | Professional | FX · Film X-ray | $70.79 | $70.79 | $77.62 |
Where South Carolina sits
The same service costs 4.6 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· 25th of 51
$170
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.