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 $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $218.78 | Professional | None (both parts) | $186.21 | $186.21 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $30.20 | Professional | 26 · Professional part | $27.54 | $27.54 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $186.21 | Professional | TC · Technical part | $158.49 | $158.49 | $186.21 |
BCBS South Carolina Setting Facility Modifier None Typical Low $446.68 Median $831.76 Typical High $1,621.81 | Facility | None | $446.68 | $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 $204.17 Median $204.17 Typical High $331.13 | Professional | None (both parts) | $204.17 | $204.17 | $331.13 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $44.67 Typical High $100.00 | Professional | 26 · Professional part | $30.90 | $44.67 | $100.00 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $173.78 Typical High $223.87 | Professional | TC · Technical part | $134.90 | $173.78 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $1,071.52 Median $1,174.90 Typical High $2,137.96 | Facility | None | $1,071.52 | $1,174.90 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $288.40 Typical High $562.34 | Professional | None (both parts) | $204.17 | $288.40 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $45.71 Typical High $83.18 | Professional | 26 · Professional part | $30.90 | $45.71 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $239.88 Typical High $478.63 | Professional | TC · Technical part | $173.78 | $239.88 | $478.63 |
Medcost Setting Facility Modifier None Typical Low $181.97 Median $281.84 Typical High $707.95 | Facility | None | $181.97 | $281.84 | $707.95 |
Medcost Setting Professional Modifier None (both parts) Typical Low $257.04 Median $309.03 Typical High $346.74 | Professional | None (both parts) | $257.04 | $309.03 | $346.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $56.23 Median $288.40 Typical High $426.58 | Professional | None (both parts) | $56.23 | $288.40 | $426.58 |
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 $208.93 Median $275.42 Typical High $416.87 | Professional | None (both parts) | $208.93 | $275.42 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $39.81 Typical High $63.10 | Professional | 26 · Professional part | $30.90 | $39.81 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $239.88 Typical High $363.08 | Professional | TC · Technical part | $177.83 | $239.88 | $363.08 |
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 $93.33 Median $93.33 Typical High $102.33 | Professional | 52 · Reduced service | $93.33 | $93.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $40.74 | Professional | 53 · Discontinued | $37.15 | $37.15 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $147.91 Median $147.91 Typical High $162.18 | Professional | FX · Film X-ray | $147.91 | $147.91 | $162.18 |
Where South Carolina sits
The same service costs 4.2 times more in Alaska than in Florida. 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· 34th of 51
$275
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.