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 $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $204.17 | Professional | None (both parts) | $181.97 | $181.97 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $61.66 | Professional | 26 · Professional part | $57.54 | $57.54 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $141.25 | Professional | TC · Technical part | $125.89 | $125.89 | $141.25 |
BCBS South Carolina Setting Facility Modifier None Typical Low $630.96 Median $1,071.52 Typical High $1,995.26 | Facility | None | $630.96 | $1,071.52 | $1,995.26 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | TC · Technical part | $436.52 | $436.52 | $436.52 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $204.17 Median $389.05 Typical High $512.86 | Professional | None (both parts) | $204.17 | $389.05 | $512.86 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $83.18 Typical High $125.89 | Professional | 26 · Professional part | $66.07 | $83.18 | $125.89 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $302.00 Typical High $398.11 | Professional | TC · Technical part | $141.25 | $302.00 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $1,584.89 Typical High $2,818.38 | Facility | None | $912.01 | $1,584.89 | $2,818.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $363.08 Typical High $562.34 | Professional | None (both parts) | $281.84 | $363.08 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $100.00 Typical High $173.78 | Professional | 26 · Professional part | $72.44 | $100.00 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $251.19 Typical High $407.38 | Professional | TC · Technical part | $194.98 | $251.19 | $407.38 |
Medcost Setting Facility Modifier None Typical Low $181.97 Median $275.42 Typical High $588.84 | Facility | None | $181.97 | $275.42 | $588.84 |
Medcost Setting Professional Modifier None (both parts) Typical Low $295.12 Median $562.34 Typical High $588.84 | Professional | None (both parts) | $295.12 | $562.34 | $588.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $79.43 Median $208.93 Typical High $346.74 | Professional | None (both parts) | $79.43 | $208.93 | $346.74 |
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 $223.87 Median $302.00 Typical High $549.54 | Professional | None (both parts) | $223.87 | $302.00 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $89.13 Typical High $147.91 | Professional | 26 · Professional part | $67.61 | $89.13 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $213.80 Typical High $407.38 | Professional | TC · Technical part | $158.49 | $213.80 | $407.38 |
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 $91.20 Median $91.20 Typical High $102.33 | Professional | 52 · Reduced service | $91.20 | $91.20 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $40.74 | Professional | 53 · Discontinued | $36.31 | $36.31 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $147.91 Median $147.91 Typical High $162.18 | Professional | FX · Film X-ray | $147.91 | $147.91 | $162.18 |
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· 43rd of 51
$263
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.