How much rates vary
Facilitymedian $1,047 · 10th to 90th $347 to $1,995Professionalmedian $257 · 10th to 90th $66 to $372
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 $173.78 Median $173.78 Typical High $239.88 | Facility | None | $173.78 | $173.78 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $234.42 | Professional | None (both parts) | $173.78 | $173.78 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $48.98 | Professional | 26 · Professional part | $38.90 | $38.90 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $186.21 | Professional | TC · Technical part | $134.90 | $134.90 | $186.21 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $67.61 | $67.61 | $67.61 |
BCBS South Carolina Setting Facility Modifier None Typical Low $562.34 Median $1,047.13 Typical High $1,995.26 | Facility | None | $562.34 | $1,047.13 | $1,995.26 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | TC · Technical part | $389.05 | $389.05 | $389.05 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $194.98 Median $275.42 Typical High $398.11 | Professional | None (both parts) | $194.98 | $275.42 | $398.11 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $87.10 Typical High $125.89 | Professional | 26 · Professional part | $43.65 | $87.10 | $125.89 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $173.78 Typical High $288.40 | Professional | TC · Technical part | $151.36 | $173.78 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $1,174.90 Typical High $2,137.96 | Facility | None | $977.24 | $1,174.90 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $302.00 Typical High $524.81 | Professional | None (both parts) | $239.88 | $302.00 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $66.07 Typical High $114.82 | Professional | 26 · Professional part | $45.71 | $66.07 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $234.42 Typical High $407.38 | Professional | TC · Technical part | $194.98 | $234.42 | $407.38 |
Medcost Setting Facility Modifier None Typical Low $173.78 Median $263.03 Typical High $870.96 | Facility | None | $173.78 | $263.03 | $870.96 |
Medcost Setting Professional Modifier None (both parts) Typical Low $251.19 Median $331.13 Typical High $407.38 | Professional | None (both parts) | $251.19 | $331.13 | $407.38 |
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 $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 $213.80 Median $269.15 Typical High $446.68 | Professional | None (both parts) | $213.80 | $269.15 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $57.54 Typical High $93.33 | Professional | 26 · Professional part | $43.65 | $57.54 | $93.33 |
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 $87.10 Median $87.10 Typical High $95.50 | Professional | 52 · Reduced service | $87.10 | $87.10 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $38.02 | Professional | 53 · Discontinued | $34.67 | $34.67 | $38.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $138.04 Typical High $151.36 | Professional | FX · Film X-ray | $138.04 | $138.04 | $151.36 |
Where South Carolina sits
The same service costs 3.5 times more in Wisconsin 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· 32nd of 51
$275
WI $676TX $191
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.