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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $93.33 | Professional | None (both parts) | $83.18 | $83.18 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.22 Typical High $17.38 | Professional | 26 · Professional part | $16.22 | $16.22 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $74.13 | Professional | TC · Technical part | $66.07 | $66.07 | $74.13 |
BCBS South Carolina Setting Facility Modifier None Typical Low $416.87 Median $812.83 Typical High $1,621.81 | Facility | None | $416.87 | $812.83 | $1,621.81 |
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 $95.50 Median $162.18 Typical High $213.80 | Professional | None (both parts) | $95.50 | $162.18 | $213.80 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $26.92 Typical High $26.92 | Professional | 26 · Professional part | $18.20 | $26.92 | $26.92 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $138.04 Typical High $138.04 | Professional | TC · Technical part | $77.62 | $138.04 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,174.90 Typical High $2,137.96 | Facility | None | $512.86 | $1,174.90 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $154.88 Typical High $251.19 | Professional | None (both parts) | $114.82 | $154.88 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $28.18 Typical High $47.86 | Professional | 26 · Professional part | $21.38 | $28.18 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $125.89 Typical High $199.53 | Professional | TC · Technical part | $93.33 | $125.89 | $199.53 |
Medcost Setting Facility Modifier None Typical Low $83.18 Median $112.20 Typical High $309.03 | Facility | None | $83.18 | $112.20 | $309.03 |
Medcost Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $245.47 | Professional | None (both parts) | $131.83 | $165.96 | $245.47 |
Molina Setting Professional Modifier None (both parts) Typical Low $97.72 Median $151.36 Typical High $194.98 | Professional | None (both parts) | $97.72 | $151.36 | $194.98 |
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 $95.50 Median $123.03 Typical High $229.09 | Professional | None (both parts) | $95.50 | $123.03 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $24.55 Typical High $41.69 | Professional | 26 · Professional part | $19.05 | $24.55 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $100.00 Typical High $186.21 | Professional | TC · Technical part | $77.62 | $100.00 | $186.21 |
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 $41.69 Median $41.69 Typical High $44.67 | Professional | 52 · Reduced service | $41.69 | $41.69 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $17.78 | Professional | 53 · Discontinued | $16.60 | $16.60 | $17.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $66.07 Typical High $72.44 | Professional | FX · Film X-ray | $66.07 | $66.07 | $72.44 |
Where South Carolina sits
The same service costs 5.0 times more in Alabama than in New York. 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· 19th of 51
$162
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.