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 $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $169.82 | Professional | None (both parts) | $151.36 | $151.36 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $25.12 | Professional | 26 · Professional part | $23.44 | $23.44 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $144.54 | Professional | TC · Technical part | $128.82 | $128.82 | $144.54 |
BCBS South Carolina Setting Facility Modifier None Typical Low $436.52 Median $831.76 Typical High $1,621.81 | Facility | None | $436.52 | $831.76 | $1,621.81 |
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 $169.82 Median $199.53 Typical High $323.59 | Professional | None (both parts) | $169.82 | $199.53 | $323.59 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $26.30 | $39.81 | $39.81 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $158.49 Typical High $190.55 | Professional | TC · Technical part | $144.54 | $158.49 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,174.90 Typical High $2,137.96 | Facility | None | $933.25 | $1,174.90 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $269.15 Typical High $457.09 | Professional | None (both parts) | $204.17 | $269.15 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $41.69 Typical High $70.79 | Professional | 26 · Professional part | $31.62 | $41.69 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $223.87 Typical High $389.05 | Professional | TC · Technical part | $173.78 | $223.87 | $389.05 |
Medcost Setting Facility Modifier None Typical Low $151.36 Median $204.17 Typical High $489.78 | Facility | None | $151.36 | $204.17 | $489.78 |
Medcost Setting Professional Modifier None (both parts) Typical Low $245.47 Median $302.00 Typical High $316.23 | Professional | None (both parts) | $245.47 | $302.00 | $316.23 |
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 $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 $194.98 Median $257.04 Typical High $407.38 | Professional | None (both parts) | $194.98 | $257.04 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $37.15 Typical High $61.66 | Professional | 26 · Professional part | $28.84 | $37.15 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $218.78 Typical High $338.84 | Professional | TC · Technical part | $162.18 | $218.78 | $338.84 |
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 $75.86 Median $75.86 Typical High $85.11 | Professional | 52 · Reduced service | $75.86 | $75.86 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $33.88 | Professional | 53 · Discontinued | $30.20 | $30.20 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $123.03 Typical High $134.90 | Professional | FX · Film X-ray | $123.03 | $123.03 | $134.90 |
Where South Carolina sits
The same service costs 4.4 times more in Alaska 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· 35th of 51
$240
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.