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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $144.54 | Professional | None (both parts) | $134.90 | $134.90 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $18.20 Typical High $19.05 | Professional | 26 · Professional part | $18.20 | $18.20 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $125.89 | Professional | TC · Technical part | $117.49 | $117.49 | $125.89 |
BCBS South Carolina Setting Facility Modifier None Typical Low $389.05 Median $776.25 Typical High $1,621.81 | Facility | None | $389.05 | $776.25 | $1,621.81 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | TC · Technical part | $263.03 | $263.03 | $263.03 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $109.65 Median $125.89 Typical High $181.97 | Professional | None (both parts) | $109.65 | $125.89 | $181.97 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $25.12 Typical High $63.10 | Professional | 26 · Professional part | $20.42 | $25.12 | $63.10 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $85.11 Typical High $125.89 | Professional | TC · Technical part | $64.57 | $85.11 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,174.90 Typical High $2,137.96 | Facility | None | $851.14 | $1,174.90 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $186.21 Typical High $407.38 | Professional | None (both parts) | $128.82 | $186.21 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $30.20 Typical High $53.70 | Professional | 26 · Professional part | $20.89 | $30.20 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $169.82 Typical High $346.74 | Professional | TC · Technical part | $100.00 | $169.82 | $346.74 |
Medcost Setting Facility Modifier None Typical Low $97.72 Median $181.97 Typical High $436.52 | Facility | None | $97.72 | $181.97 | $436.52 |
Medcost Setting Professional Modifier None (both parts) Typical Low $165.96 Median $173.78 Typical High $213.80 | Professional | None (both parts) | $165.96 | $173.78 | $213.80 |
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 $141.25 Median $190.55 Typical High $309.03 | Professional | None (both parts) | $141.25 | $190.55 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $26.92 Typical High $41.69 | Professional | 26 · Professional part | $20.42 | $26.92 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $158.49 Typical High $269.15 | Professional | TC · Technical part | $123.03 | $158.49 | $269.15 |
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 $67.61 Median $67.61 Typical High $72.44 | Professional | 52 · Reduced service | $67.61 | $67.61 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $28.84 | Professional | 53 · Discontinued | $26.92 | $26.92 | $28.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $107.15 Typical High $117.49 | Professional | FX · Film X-ray | $107.15 | $107.15 | $117.49 |
Where South Carolina sits
The same service costs 4.7 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· 37th of 51
$182
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.