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 $251.19 Median $295.12 Typical High $426.58 | Facility | None | $251.19 | $295.12 | $426.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $371.54 | Professional | None (both parts) | $251.19 | $251.19 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $47.86 | Professional | 26 · Professional part | $31.62 | $31.62 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $323.59 | Professional | TC · Technical part | $218.78 | $218.78 | $323.59 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $295.12 | $295.12 | $295.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.02 Typical High $64.57 | Professional | 26 · Professional part | $28.18 | $38.02 | $64.57 |
BCBS South Carolina Setting Facility Modifier None Typical Low $446.68 Median $870.96 Typical High $1,584.89 | Facility | None | $446.68 | $870.96 | $1,584.89 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | TC · Technical part | $316.23 | $316.23 | $316.23 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $234.42 Median $239.88 Typical High $380.19 | Professional | None (both parts) | $234.42 | $239.88 | $380.19 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $83.18 Typical High $109.65 | Professional | 26 · Professional part | $34.67 | $83.18 | $109.65 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $251.19 | Professional | TC · Technical part | $154.88 | $154.88 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $1,071.52 Median $1,258.93 Typical High $2,137.96 | Facility | None | $1,071.52 | $1,258.93 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $338.84 Typical High $741.31 | Professional | None (both parts) | $229.09 | $338.84 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $52.48 Typical High $93.33 | Professional | 26 · Professional part | $36.31 | $52.48 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $309.03 Typical High $660.69 | Professional | TC · Technical part | $190.55 | $309.03 | $660.69 |
Medcost Setting Facility Modifier None Typical Low $181.97 Median $323.59 Typical High $707.95 | Facility | None | $181.97 | $323.59 | $707.95 |
Medcost Setting Professional Modifier None (both parts) Typical Low $281.84 Median $309.03 Typical High $398.11 | Professional | None (both parts) | $281.84 | $309.03 | $398.11 |
Molina Setting Professional Modifier None (both parts) Typical Low $56.23 Median $380.19 Typical High $549.54 | Professional | None (both parts) | $56.23 | $380.19 | $549.54 |
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 $245.47 Median $346.74 Typical High $588.84 | Professional | None (both parts) | $245.47 | $346.74 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $45.71 Typical High $72.44 | Professional | 26 · Professional part | $35.48 | $45.71 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $302.00 Typical High $489.78 | Professional | TC · Technical part | $213.80 | $302.00 | $489.78 |
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 $123.03 Median $123.03 Typical High $134.90 | Professional | 52 · Reduced service | $123.03 | $123.03 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $54.95 | Professional | 53 · Discontinued | $50.12 | $50.12 | $54.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $199.53 Median $199.53 Typical High $218.78 | Professional | FX · Film X-ray | $199.53 | $199.53 | $218.78 |
Where South Carolina sits
The same service costs 3.5 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
$355
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.