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 $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $229.09 | Professional | None (both parts) | $208.93 | $208.93 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $34.67 | Professional | 26 · Professional part | $33.11 | $33.11 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $194.98 | Professional | TC · Technical part | $173.78 | $173.78 | $194.98 |
BCBS South Carolina Setting Facility Modifier None Typical Low $489.78 Median $870.96 Typical High $1,621.81 | Facility | None | $489.78 | $870.96 | $1,621.81 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | TC · Technical part | $338.84 | $338.84 | $338.84 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $218.78 Median $223.87 Typical High $363.08 | Professional | None (both parts) | $218.78 | $223.87 | $363.08 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $77.62 Typical High $109.65 | Professional | 26 · Professional part | $37.15 | $77.62 | $109.65 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $190.55 Typical High $257.04 | Professional | TC · Technical part | $141.25 | $190.55 | $257.04 |
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 $190.55 Median $275.42 Typical High $630.96 | Professional | None (both parts) | $190.55 | $275.42 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $56.23 Typical High $100.00 | Professional | 26 · Professional part | $38.02 | $56.23 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $223.87 Typical High $524.81 | Professional | TC · Technical part | $154.88 | $223.87 | $524.81 |
Medcost Setting Facility Modifier None Typical Low $165.96 Median $269.15 Typical High $660.69 | Facility | None | $165.96 | $269.15 | $660.69 |
Medcost Setting Professional Modifier None (both parts) Typical Low $239.88 Median $281.84 Typical High $338.84 | Professional | None (both parts) | $239.88 | $281.84 | $338.84 |
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 $199.53 Median $288.40 Typical High $478.63 | Professional | None (both parts) | $199.53 | $288.40 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $48.98 Typical High $75.86 | Professional | 26 · Professional part | $37.15 | $48.98 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $245.47 Typical High $389.05 | Professional | TC · Technical part | $162.18 | $245.47 | $389.05 |
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 $104.71 Median $104.71 Typical High $114.82 | Professional | 52 · Reduced service | $104.71 | $104.71 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $45.71 | Professional | 53 · Discontinued | $41.69 | $41.69 | $45.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $165.96 Typical High $181.97 | Professional | FX · Film X-ray | $165.96 | $165.96 | $181.97 |
Where South Carolina sits
The same service costs 5.0 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
$295
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.