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 $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $363.08 | Professional | None (both parts) | $263.03 | $263.03 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $48.98 | Professional | 26 · Professional part | $38.90 | $38.90 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $309.03 | Professional | TC · Technical part | $223.87 | $223.87 | $309.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $47.86 | Professional | 26 · Professional part | $35.48 | $35.48 | $47.86 |
BCBS South Carolina Setting Facility Modifier None Typical Low $457.09 Median $851.14 Typical High $1,621.81 | Facility | None | $457.09 | $851.14 | $1,621.81 |
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 $245.47 Median $281.84 Typical High $398.11 | Professional | None (both parts) | $245.47 | $281.84 | $398.11 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $70.79 Typical High $114.82 | Professional | 26 · Professional part | $43.65 | $70.79 | $114.82 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $213.80 Typical High $302.00 | Professional | TC · Technical part | $154.88 | $213.80 | $302.00 |
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 $275.42 Median $398.11 Typical High $794.33 | Professional | None (both parts) | $275.42 | $398.11 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $66.07 Typical High $117.49 | Professional | 26 · Professional part | $45.71 | $66.07 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $338.84 Typical High $676.08 | Professional | TC · Technical part | $223.87 | $338.84 | $676.08 |
Medcost Setting Facility Modifier None Typical Low $218.78 Median $331.13 Typical High $707.95 | Facility | None | $218.78 | $331.13 | $707.95 |
Medcost Setting Professional Modifier None (both parts) Typical Low $295.12 Median $371.54 Typical High $426.58 | Professional | None (both parts) | $295.12 | $371.54 | $426.58 |
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 $295.12 Median $380.19 Typical High $616.60 | Professional | None (both parts) | $295.12 | $380.19 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $57.54 Typical High $91.20 | Professional | 26 · Professional part | $44.67 | $57.54 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $323.59 Typical High $524.81 | Professional | TC · Technical part | $251.19 | $323.59 | $524.81 |
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 $131.83 Median $131.83 Typical High $144.54 | Professional | 52 · Reduced service | $131.83 | $131.83 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $57.54 | Professional | 53 · Discontinued | $52.48 | $52.48 | $57.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $208.93 Median $208.93 Typical High $229.09 | Professional | FX · Film X-ray | $208.93 | $208.93 | $229.09 |
Where South Carolina sits
The same service costs 3.8 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· 39th 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.