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 $169.82 | Professional | None (both parts) | $158.49 | $158.49 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $38.90 | Professional | 26 · Professional part | $36.31 | $36.31 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $131.83 | Professional | TC · Technical part | $123.03 | $123.03 | $131.83 |
BCBS South Carolina Setting Facility Modifier None Typical Low $363.08 Median $630.96 Typical High $1,318.26 | Facility | None | $363.08 | $630.96 | $1,318.26 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | TC · Technical part | $251.19 | $251.19 | $251.19 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $173.78 Median $204.17 Typical High $288.40 | Professional | None (both parts) | $173.78 | $204.17 | $288.40 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $54.95 Typical High $91.20 | Professional | 26 · Professional part | $40.74 | $54.95 | $91.20 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $131.83 Typical High $194.98 | Professional | TC · Technical part | $112.20 | $131.83 | $194.98 |
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 $186.21 Median $251.19 Typical High $478.63 | Professional | None (both parts) | $186.21 | $251.19 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $60.26 Typical High $109.65 | Professional | 26 · Professional part | $41.69 | $60.26 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $194.98 Typical High $371.54 | Professional | TC · Technical part | $144.54 | $194.98 | $371.54 |
Medcost Setting Facility Modifier None Typical Low $158.49 Median $213.80 Typical High $446.68 | Facility | None | $158.49 | $213.80 | $446.68 |
Medcost Setting Professional Modifier None (both parts) Typical Low $194.98 Median $295.12 Typical High $316.23 | Professional | None (both parts) | $194.98 | $295.12 | $316.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $56.23 Median $218.78 Typical High $363.08 | Professional | None (both parts) | $56.23 | $218.78 | $363.08 |
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 $177.83 Median $239.88 Typical High $363.08 | Professional | None (both parts) | $177.83 | $239.88 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $53.70 Typical High $83.18 | Professional | 26 · Professional part | $40.74 | $53.70 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $186.21 Typical High $281.84 | Professional | TC · Technical part | $134.90 | $186.21 | $281.84 |
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 $85.11 | Professional | 52 · Reduced service | $79.43 | $79.43 | $85.11 |
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 5.0 times more in Alaska than in Texas. 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· 36th of 51
$229
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.