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 $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $107.15 | Professional | None (both parts) | $100.00 | $100.00 | $107.15 |
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 $79.43 Median $79.43 Typical High $85.11 | Professional | TC · Technical part | $79.43 | $79.43 | $85.11 |
BCBS South Carolina Setting Facility Modifier None Typical Low $389.05 Median $707.95 Typical High $1,174.90 | Facility | None | $389.05 | $707.95 | $1,174.90 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | TC · Technical part | $331.13 | $331.13 | $331.13 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $117.49 Median $302.00 Typical High $416.87 | Professional | None (both parts) | $117.49 | $302.00 | $416.87 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $23.44 | $34.67 | $34.67 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $269.15 Typical High $269.15 | Professional | TC · Technical part | $95.50 | $269.15 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,174.90 Typical High $2,137.96 | Facility | None | $602.56 | $1,174.90 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $213.80 Typical High $467.74 | Professional | None (both parts) | $173.78 | $213.80 | $467.74 |
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 $138.04 Median $186.21 Typical High $380.19 | Professional | TC · Technical part | $138.04 | $186.21 | $380.19 |
Medcost Setting Facility Modifier None Typical Low $100.00 Median $181.97 Typical High $331.13 | Facility | None | $100.00 | $181.97 | $331.13 |
Medcost Setting Professional Modifier None (both parts) Typical Low $162.18 Median $288.40 Typical High $478.63 | Professional | None (both parts) | $162.18 | $288.40 | $478.63 |
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 $120.23 Median $173.78 Typical High $389.05 | Professional | None (both parts) | $120.23 | $173.78 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.11 Typical High $54.95 | Professional | 26 · Professional part | $25.70 | $33.11 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $141.25 Typical High $346.74 | Professional | TC · Technical part | $93.33 | $141.25 | $346.74 |
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 $50.12 Median $50.12 Typical High $53.70 | Professional | 52 · Reduced service | $50.12 | $50.12 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $21.88 | Professional | 53 · Discontinued | $19.95 | $19.95 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $79.43 Typical High $87.10 | Professional | FX · Film X-ray | $79.43 | $79.43 | $87.10 |
Where South Carolina sits
The same service costs 5.2 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· 36th of 51
$178
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.