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 $269.15 Median $269.15 Typical High $467.74 | Facility | None | $269.15 | $269.15 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $380.19 | Professional | None (both parts) | $269.15 | $269.15 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $70.79 | Professional | 26 · Professional part | $46.77 | $46.77 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $316.23 | Professional | TC · Technical part | $218.78 | $218.78 | $316.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $81.28 Typical High $95.50 | Professional | 26 · Professional part | $52.48 | $81.28 | $95.50 |
BCBS South Carolina Setting Facility Modifier None Typical Low $489.78 Median $891.25 Typical High $1,621.81 | Facility | None | $489.78 | $891.25 | $1,621.81 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | TC · Technical part | $354.81 | $354.81 | $354.81 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $229.09 Median $281.84 Typical High $380.19 | Professional | None (both parts) | $229.09 | $281.84 | $380.19 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $66.07 Typical High $107.15 | Professional | 26 · Professional part | $52.48 | $66.07 | $107.15 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $218.78 Typical High $263.03 | Professional | TC · Technical part | $144.54 | $218.78 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,584.89 Typical High $2,818.38 | Facility | None | $1,230.27 | $1,584.89 | $2,818.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $389.05 Typical High $812.83 | Professional | None (both parts) | $263.03 | $389.05 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $77.62 Typical High $141.25 | Professional | 26 · Professional part | $54.95 | $77.62 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $338.84 Typical High $660.69 | Professional | TC · Technical part | $186.21 | $338.84 | $660.69 |
Medcost Setting Facility Modifier None Typical Low $199.53 Median $371.54 Typical High $741.31 | Facility | None | $199.53 | $371.54 | $741.31 |
Medcost Setting Professional Modifier None (both parts) Typical Low $316.23 Median $338.84 Typical High $446.68 | Professional | None (both parts) | $316.23 | $338.84 | $446.68 |
Molina Setting Professional Modifier None (both parts) Typical Low $56.23 Median $380.19 Typical High $549.54 | Professional | None (both parts) | $56.23 | $380.19 | $549.54 |
United Setting Facility Modifier None Typical Low $2,290.87 Median $2,754.23 Typical High $3,630.78 | Facility | None | $2,290.87 | $2,754.23 | $3,630.78 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $389.05 Typical High $616.60 | Professional | None (both parts) | $302.00 | $389.05 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $69.18 Typical High $112.20 | Professional | 26 · Professional part | $52.48 | $69.18 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $323.59 Typical High $524.81 | Professional | TC · Technical part | $245.47 | $323.59 | $524.81 |
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 $134.90 Median $134.90 Typical High $144.54 | Professional | 52 · Reduced service | $134.90 | $134.90 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $58.88 | Professional | 53 · Discontinued | $53.70 | $53.70 | $58.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $213.80 Median $213.80 Typical High $234.42 | Professional | FX · Film X-ray | $213.80 | $213.80 | $234.42 |
Where South Carolina sits
The same service costs 4.0 times more in Alaska than in Kentucky. 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
$363
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.