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 $323.59 Typical High $831.76 | Facility | None | $263.03 | $323.59 | $831.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $389.05 | Professional | None (both parts) | $263.03 | $263.03 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $60.26 | Professional | 26 · Professional part | $40.74 | $40.74 | $60.26 |
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 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $69.18 | Professional | 26 · Professional part | $44.67 | $44.67 | $69.18 |
BCBS South Carolina Setting Facility Modifier None Typical Low $478.63 Median $933.25 Typical High $1,621.81 | Facility | None | $478.63 | $933.25 | $1,621.81 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | TC · Technical part | $331.13 | $331.13 | $331.13 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $275.42 Median $281.84 Typical High $407.38 | Professional | None (both parts) | $275.42 | $281.84 | $407.38 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $100.00 Typical High $141.25 | Professional | 26 · Professional part | $44.67 | $100.00 | $141.25 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $181.97 Typical High $269.15 | Professional | TC · Technical part | $162.18 | $181.97 | $269.15 |
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 $46.77 Median $67.61 Typical High $120.23 | Professional | 26 · Professional part | $46.77 | $67.61 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $338.84 Typical High $660.69 | Professional | TC · Technical part | $218.78 | $338.84 | $660.69 |
Medcost Setting Facility Modifier None Typical Low $213.80 Median $338.84 Typical High $724.44 | Facility | None | $213.80 | $338.84 | $724.44 |
Medcost Setting Professional Modifier None (both parts) Typical Low $295.12 Median $363.08 Typical High $416.87 | Professional | None (both parts) | $295.12 | $363.08 | $416.87 |
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 $602.56 | Professional | None (both parts) | $295.12 | $380.19 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $60.26 Typical High $95.50 | Professional | 26 · Professional part | $45.71 | $60.26 | $95.50 |
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 $141.25 | Professional | 52 · Reduced service | $131.83 | $131.83 | $141.25 |
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 4.7 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· 39th of 51
$363
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.