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 $1,412.54 Median $1,513.56 Typical High $1,513.56 | Professional | None (both parts) | $1,412.54 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $371.54 Typical High $371.54 | Professional | 26 · Professional part | $83.18 | $371.54 | $371.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $1,122.02 Typical High $1,412.54 | Professional | TC · Technical part | $1,122.02 | $1,122.02 | $1,412.54 |
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 $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | TC · Technical part | $1,445.44 | $1,445.44 | $1,445.44 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $933.25 Median $977.24 Typical High $1,513.56 | Professional | None (both parts) | $933.25 | $977.24 | $1,513.56 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $112.20 Typical High $141.25 | Professional | 26 · Professional part | $81.28 | $112.20 | $141.25 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $870.96 Typical High $1,412.54 | Professional | TC · Technical part | $831.76 | $870.96 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $2,630.27 Typical High $7,413.10 | Facility | None | $1,659.59 | $2,630.27 | $7,413.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $630.96 Typical High $1,258.93 | Professional | None (both parts) | $309.03 | $630.96 | $1,258.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $123.03 Typical High $213.80 | Professional | 26 · Professional part | $91.20 | $123.03 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $512.86 Typical High $1,047.13 | Professional | TC · Technical part | $213.80 | $512.86 | $1,047.13 |
Medcost Setting Facility Modifier None Typical Low $316.23 Median $1,659.59 Typical High $2,041.74 | Facility | None | $316.23 | $1,659.59 | $2,041.74 |
Medcost Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,318.26 Typical High $1,905.46 | Professional | None (both parts) | $977.24 | $1,318.26 | $1,905.46 |
Molina Setting Professional Modifier None (both parts) Typical Low $104.71 Median $162.18 Typical High $194.98 | Professional | None (both parts) | $104.71 | $162.18 | $194.98 |
United Setting Facility Modifier None Typical Low $6,025.60 Median $7,244.36 Typical High $9,549.93 | Facility | None | $6,025.60 | $7,244.36 | $9,549.93 |
United Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,659.59 Typical High $2,951.21 | Professional | None (both parts) | $891.25 | $1,659.59 | $2,951.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $104.71 Typical High $181.97 | Professional | 26 · Professional part | $83.18 | $104.71 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,513.56 Typical High $2,754.23 | Professional | TC · Technical part | $794.33 | $1,513.56 | $2,754.23 |
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 $707.95 Median $758.58 Typical High $758.58 | Professional | 52 · Reduced service | $707.95 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $302.00 Typical High $302.00 | Professional | 53 · Discontinued | $281.84 | $302.00 | $302.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,148.15 Median $1,202.26 Typical High $1,202.26 | Professional | FX · Film X-ray | $1,148.15 | $1,202.26 | $1,202.26 |
Where South Carolina sits
The same service costs 15.1 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· 47th of 51
$933
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.