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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $154.88 | Professional | None (both parts) | $141.25 | $141.25 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $33.11 | Professional | 26 · Professional part | $30.90 | $30.90 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $123.03 | Professional | TC · Technical part | $112.20 | $112.20 | $123.03 |
BCBS South Carolina Setting Facility Modifier None Typical Low $512.86 Median $1,023.29 Typical High $1,995.26 | Facility | None | $512.86 | $1,023.29 | $1,995.26 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | TC · Technical part | $346.74 | $346.74 | $346.74 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $154.88 Median $158.49 Typical High $229.09 | Professional | None (both parts) | $154.88 | $158.49 | $229.09 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $39.81 Typical High $66.07 | Professional | 26 · Professional part | $33.88 | $39.81 | $66.07 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $125.89 Typical High $177.83 | Professional | TC · Technical part | $114.82 | $125.89 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $1,174.90 Typical High $2,137.96 | Facility | None | $812.83 | $1,174.90 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $208.93 Typical High $426.58 | Professional | None (both parts) | $158.49 | $208.93 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $52.48 Typical High $91.20 | Professional | 26 · Professional part | $38.02 | $52.48 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $165.96 Typical High $338.84 | Professional | TC · Technical part | $102.33 | $165.96 | $338.84 |
Medcost Setting Facility Modifier None Typical Low $117.49 Median $190.55 Typical High $457.09 | Facility | None | $117.49 | $190.55 | $457.09 |
Medcost Setting Professional Modifier None (both parts) Typical Low $194.98 Median $199.53 Typical High $263.03 | Professional | None (both parts) | $194.98 | $199.53 | $263.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $56.23 Median $199.53 Typical High $302.00 | Professional | None (both parts) | $56.23 | $199.53 | $302.00 |
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 $165.96 Median $213.80 Typical High $331.13 | Professional | None (both parts) | $165.96 | $213.80 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $46.77 Typical High $75.86 | Professional | 26 · Professional part | $34.67 | $46.77 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $165.96 Typical High $257.04 | Professional | TC · Technical part | $128.82 | $165.96 | $257.04 |
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 $70.79 Median $70.79 Typical High $77.62 | Professional | 52 · Reduced service | $70.79 | $70.79 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $30.90 | Professional | 53 · Discontinued | $28.18 | $28.18 | $30.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $114.82 Typical High $125.89 | Professional | FX · Film X-ray | $114.82 | $114.82 | $125.89 |
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
$195
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.