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 $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $173.78 | Professional | None (both parts) | $158.49 | $158.49 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $21.38 | Professional | 26 · Professional part | $19.95 | $19.95 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $151.36 | Professional | TC · Technical part | $138.04 | $138.04 | $151.36 |
BCBS South Carolina Setting Facility Modifier None Typical Low $446.68 Median $891.25 Typical High $1,862.09 | Facility | None | $446.68 | $891.25 | $1,862.09 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | TC · Technical part | $302.00 | $302.00 | $302.00 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $141.25 Median $162.18 Typical High $229.09 | Professional | None (both parts) | $141.25 | $162.18 | $229.09 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $44.67 Typical High $72.44 | Professional | 26 · Professional part | $22.39 | $44.67 | $72.44 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $117.49 Typical High $190.55 | Professional | TC · Technical part | $83.18 | $117.49 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,584.89 Typical High $2,818.38 | Facility | None | $1,023.29 | $1,584.89 | $2,818.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $229.09 Typical High $478.63 | Professional | None (both parts) | $162.18 | $229.09 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.88 Typical High $58.88 | Professional | 26 · Professional part | $23.44 | $33.88 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $204.17 Typical High $416.87 | Professional | TC · Technical part | $131.83 | $204.17 | $416.87 |
Medcost Setting Facility Modifier None Typical Low $125.89 Median $213.80 Typical High $512.86 | Facility | None | $125.89 | $213.80 | $512.86 |
Medcost Setting Professional Modifier None (both parts) Typical Low $208.93 Median $213.80 Typical High $263.03 | Professional | None (both parts) | $208.93 | $213.80 | $263.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $56.23 Median $239.88 Typical High $363.08 | Professional | None (both parts) | $56.23 | $239.88 | $363.08 |
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 $173.78 Median $223.87 Typical High $363.08 | Professional | None (both parts) | $173.78 | $223.87 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.84 Typical High $46.77 | Professional | 26 · Professional part | $22.39 | $28.84 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $204.17 Typical High $316.23 | Professional | TC · Technical part | $151.36 | $204.17 | $316.23 |
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 $79.43 Median $79.43 Typical High $87.10 | Professional | 52 · Reduced service | $79.43 | $79.43 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $34.67 | Professional | 53 · Discontinued | $31.62 | $31.62 | $34.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $125.89 Median $125.89 Typical High $138.04 | Professional | FX · Film X-ray | $125.89 | $125.89 | $138.04 |
Where South Carolina sits
The same service costs 4.6 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· 35th of 51
$229
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.