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 $1,513.56 Median $3,162.28 Typical High $8,511.38 | Facility | None | $1,513.56 | $3,162.28 | $8,511.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,513.56 Typical High $1,513.56 | Professional | None (both parts) | $1,258.93 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $371.54 Typical High $371.54 | Professional | 26 · Professional part | $72.44 | $371.54 | $371.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $1,122.02 Typical High $1,230.27 | Professional | TC · Technical part | $1,122.02 | $1,122.02 | $1,230.27 |
BCBS South Carolina Setting Facility Modifier None Typical Low $2,041.74 Median $3,890.45 Typical High $9,120.11 | Facility | None | $2,041.74 | $3,890.45 | $9,120.11 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | TC · Technical part | $1,412.54 | $1,412.54 | $1,412.54 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $912.01 Median $954.99 Typical High $1,513.56 | Professional | None (both parts) | $912.01 | $954.99 | $1,513.56 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $112.20 Typical High $147.91 | Professional | 26 · Professional part | $69.18 | $112.20 | $147.91 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $831.76 Typical High $1,258.93 | Professional | TC · Technical part | $812.83 | $831.76 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $2,137.96 Typical High $6,606.93 | Facility | None | $1,380.38 | $2,137.96 | $6,606.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $467.74 Typical High $1,023.29 | Professional | None (both parts) | $239.88 | $467.74 | $1,023.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $107.15 Typical High $186.21 | Professional | 26 · Professional part | $70.79 | $107.15 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $380.19 Typical High $831.76 | Professional | TC · Technical part | $165.96 | $380.19 | $831.76 |
Medcost Setting Facility Modifier None Typical Low $251.19 Median $1,659.59 Typical High $2,041.74 | Facility | None | $251.19 | $1,659.59 | $2,041.74 |
Medcost Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,258.93 Typical High $1,905.46 | Professional | None (both parts) | $954.99 | $1,258.93 | $1,905.46 |
Molina Setting Professional Modifier None (both parts) Typical Low $70.79 Median $112.20 Typical High $131.83 | Professional | None (both parts) | $70.79 | $112.20 | $131.83 |
United Setting Facility Modifier None Typical Low $5,495.41 Median $6,606.93 Typical High $8,511.38 | Facility | None | $5,495.41 | $6,606.93 | $8,511.38 |
United Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,621.81 Typical High $3,019.95 | Professional | None (both parts) | $1,230.27 | $1,621.81 | $3,019.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $91.20 Typical High $147.91 | Professional | 26 · Professional part | $69.18 | $91.20 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $1,148.15 Median $1,548.82 Typical High $2,884.03 | Professional | TC · Technical part | $1,148.15 | $1,548.82 | $2,884.03 |
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 $630.96 Median $758.58 Typical High $758.58 | Professional | 52 · Reduced service | $630.96 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $302.00 Typical High $302.00 | Professional | 53 · Discontinued | $251.19 | $302.00 | $302.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,000.00 Median $1,202.26 Typical High $1,202.26 | Professional | FX · Film X-ray | $1,000.00 | $1,202.26 | $1,202.26 |
Where South Carolina sits
The same service costs 4.4 times more in Nebraska than in Washington. 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· 38th of 51
$1,230
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.