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 $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $190.55 | Professional | None (both parts) | $173.78 | $173.78 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $50.12 | Professional | 26 · Professional part | $46.77 | $46.77 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $141.25 | Professional | TC · Technical part | $128.82 | $128.82 | $141.25 |
BCBS Setting Facility Modifier None Typical Low $616.60 Median $1,071.52 Typical High $1,995.26 | Facility | None | $616.60 | $1,071.52 | $1,995.26 |
BCBS Setting Facility Modifier TC · Technical part Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | TC · Technical part | $416.87 | $416.87 | $416.87 |
BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $331.13 Typical High $426.58 | Professional | None (both parts) | $199.53 | $331.13 | $426.58 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $66.07 Typical High $102.33 | Professional | 26 · Professional part | $53.70 | $66.07 | $102.33 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $263.03 Typical High $346.74 | Professional | TC · Technical part | $144.54 | $263.03 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,174.90 Typical High $2,137.96 | Facility | None | $933.25 | $1,174.90 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $323.59 Typical High $524.81 | Professional | None (both parts) | $263.03 | $323.59 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $79.43 Typical High $141.25 | Professional | 26 · Professional part | $57.54 | $79.43 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $245.47 Typical High $389.05 | Professional | TC · Technical part | $190.55 | $245.47 | $389.05 |
Medcost Setting Facility Modifier None Typical Low $173.78 Median $263.03 Typical High $562.34 | Facility | None | $173.78 | $263.03 | $562.34 |
Medcost Setting Professional Modifier None (both parts) Typical Low $281.84 Median $407.38 Typical High $512.86 | Professional | None (both parts) | $281.84 | $407.38 | $512.86 |
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 $208.93 Median $269.15 Typical High $489.78 | Professional | None (both parts) | $208.93 | $269.15 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $72.44 Typical High $114.82 | Professional | 26 · Professional part | $52.48 | $72.44 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $204.17 Typical High $371.54 | Professional | TC · Technical part | $154.88 | $204.17 | $371.54 |
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 4.7 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· 32nd of 51
$288
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.