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 $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $181.97 | Professional | None (both parts) | $169.82 | $169.82 | $181.97 |
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 $131.83 Median $131.83 Typical High $144.54 | Professional | TC · Technical part | $131.83 | $131.83 | $144.54 |
BCBS South Carolina Setting Facility Modifier None Typical Low $549.54 Median $1,023.29 Typical High $1,995.26 | Facility | None | $549.54 | $1,023.29 | $1,995.26 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | TC · Technical part | $380.19 | $380.19 | $380.19 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $190.55 Median $251.19 Typical High $389.05 | Professional | None (both parts) | $190.55 | $251.19 | $389.05 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $66.07 Typical High $97.72 | Professional | 26 · Professional part | $41.69 | $66.07 | $97.72 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $186.21 Typical High $302.00 | Professional | TC · Technical part | $147.91 | $186.21 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $1,584.89 Typical High $2,818.38 | Facility | None | $977.24 | $1,584.89 | $2,818.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $295.12 Typical High $512.86 | Professional | None (both parts) | $239.88 | $295.12 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $61.66 Typical High $109.65 | Professional | 26 · Professional part | $44.67 | $61.66 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $234.42 Typical High $398.11 | Professional | TC · Technical part | $194.98 | $234.42 | $398.11 |
Medcost Setting Facility Modifier None Typical Low $169.82 Median $229.09 Typical High $549.54 | Facility | None | $169.82 | $229.09 | $549.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $251.19 Median $338.84 Typical High $389.05 | Professional | None (both parts) | $251.19 | $338.84 | $389.05 |
Molina Setting Professional Modifier None (both parts) Typical Low $56.23 Median $239.88 Typical High $363.08 | Professional | None (both parts) | $56.23 | $239.88 | $363.08 |
United Setting Facility Modifier None Typical Low $2,290.87 Median $2,754.23 Typical High $3,630.78 | Facility | None | $2,290.87 | $2,754.23 | $3,630.78 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $263.03 Typical High $436.52 | Professional | None (both parts) | $208.93 | $263.03 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $54.95 Typical High $89.13 | Professional | 26 · Professional part | $41.69 | $54.95 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $208.93 Typical High $346.74 | Professional | TC · Technical part | $165.96 | $208.93 | $346.74 |
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 $85.11 Median $85.11 Typical High $91.20 | Professional | 52 · Reduced service | $85.11 | $85.11 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $36.31 | Professional | 53 · Discontinued | $33.88 | $33.88 | $36.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $134.90 Typical High $147.91 | Professional | FX · Film X-ray | $134.90 | $134.90 | $147.91 |
Where South Carolina sits
The same service costs 4.6 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
$257
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.