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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $141.25 | Professional | None (both parts) | $128.82 | $128.82 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $14.79 | Professional | 26 · Professional part | $13.80 | $13.80 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $125.89 | Professional | TC · Technical part | $114.82 | $114.82 | $125.89 |
BCBS South Carolina Setting Facility Modifier None Typical Low $416.87 Median $831.76 Typical High $1,698.24 | Facility | None | $416.87 | $831.76 | $1,698.24 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | TC · Technical part | $281.84 | $281.84 | $281.84 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $114.82 Median $131.83 Typical High $190.55 | Professional | None (both parts) | $114.82 | $131.83 | $190.55 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $15.49 | $44.67 | $44.67 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $114.82 Typical High $131.83 | Professional | TC · Technical part | $69.18 | $114.82 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $1,174.90 Typical High $2,137.96 | Facility | None | $831.76 | $1,174.90 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $213.80 Typical High $389.05 | Professional | None (both parts) | $134.90 | $213.80 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $24.55 Typical High $41.69 | Professional | 26 · Professional part | $18.62 | $24.55 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $194.98 Typical High $346.74 | Professional | TC · Technical part | $107.15 | $194.98 | $346.74 |
Medcost Setting Facility Modifier None Typical Low $102.33 Median $173.78 Typical High $407.38 | Facility | None | $102.33 | $173.78 | $407.38 |
Medcost Setting Professional Modifier None (both parts) Typical Low $173.78 Median $190.55 Typical High $251.19 | Professional | None (both parts) | $173.78 | $190.55 | $251.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $131.83 Median $204.17 Typical High $257.04 | Professional | None (both parts) | $131.83 | $204.17 | $257.04 |
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 $158.49 Median $194.98 Typical High $316.23 | Professional | None (both parts) | $158.49 | $194.98 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $21.38 Typical High $36.31 | Professional | 26 · Professional part | $16.98 | $21.38 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $173.78 Typical High $275.42 | Professional | TC · Technical part | $141.25 | $173.78 | $275.42 |
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 $64.57 Median $64.57 Typical High $70.79 | Professional | 52 · Reduced service | $64.57 | $64.57 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $28.18 | Professional | 53 · Discontinued | $25.70 | $25.70 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $102.33 Typical High $114.82 | Professional | FX · Film X-ray | $102.33 | $102.33 | $114.82 |
Where South Carolina sits
The same service costs 4.5 times more in Alaska than in Florida. 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· 39th of 51
$186
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.