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 $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $173.78 | Professional | None (both parts) | $158.49 | $158.49 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $21.88 | Professional | 26 · Professional part | $20.42 | $20.42 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $151.36 | Professional | TC · Technical part | $138.04 | $138.04 | $151.36 |
BCBS South Carolina Setting Facility Modifier None Typical Low $309.03 Median $616.60 Typical High $1,318.26 | Facility | None | $309.03 | $616.60 | $1,318.26 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | TC · Technical part | $208.93 | $208.93 | $208.93 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $100.00 Median $117.49 Typical High $190.55 | Professional | None (both parts) | $100.00 | $117.49 | $190.55 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $54.95 Typical High $81.28 | Professional | 26 · Professional part | $21.88 | $54.95 | $81.28 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $46.77 Typical High $131.83 | Professional | TC · Technical part | $44.67 | $46.77 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,174.90 Typical High $2,137.96 | Facility | None | $870.96 | $1,174.90 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $194.98 Typical High $478.63 | Professional | None (both parts) | $117.49 | $194.98 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $33.11 Typical High $61.66 | Professional | 26 · Professional part | $22.39 | $33.11 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $173.78 Typical High $416.87 | Professional | TC · Technical part | $85.11 | $173.78 | $416.87 |
Medcost Setting Facility Modifier None Typical Low $89.13 Median $194.98 Typical High $501.19 | Facility | None | $89.13 | $194.98 | $501.19 |
Medcost Setting Professional Modifier None (both parts) Typical Low $151.36 Median $177.83 Typical High $257.04 | Professional | None (both parts) | $151.36 | $177.83 | $257.04 |
Molina Setting Professional Modifier None (both parts) Typical Low $131.83 Median $204.17 Typical High $257.04 | Professional | None (both parts) | $131.83 | $204.17 | $257.04 |
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 $147.91 Median $204.17 Typical High $346.74 | Professional | None (both parts) | $147.91 | $204.17 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $29.51 Typical High $46.77 | Professional | 26 · Professional part | $22.91 | $29.51 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $177.83 Typical High $302.00 | Professional | TC · Technical part | $125.89 | $177.83 | $302.00 |
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 $79.43 Median $79.43 Typical High $87.10 | Professional | 52 · Reduced service | $79.43 | $79.43 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $34.67 | Professional | 53 · Discontinued | $31.62 | $31.62 | $34.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $125.89 Median $125.89 Typical High $138.04 | Professional | FX · Film X-ray | $125.89 | $125.89 | $138.04 |
Where South Carolina sits
The same service costs 5.5 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· 41st of 51
$186
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.