How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $37.15 | Professional | None (both parts) | $34.67 | $34.67 | $37.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $21.38 | Professional | 26 · Professional part | $19.95 | $19.95 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $14.79 Typical High $16.22 | Professional | TC · Technical part | $14.79 | $14.79 | $16.22 |
BCBS South Carolina Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $40.74 Median $109.65 Typical High $281.84 | Professional | None (both parts) | $40.74 | $109.65 | $281.84 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.18 Typical High $42.66 | Professional | 26 · Professional part | $22.39 | $28.18 | $42.66 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $75.86 Typical High $257.04 | Professional | TC · Technical part | $17.78 | $75.86 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $104.71 Typical High $407.38 | Professional | None (both parts) | $51.29 | $104.71 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.88 Typical High $58.88 | Professional | 26 · Professional part | $23.99 | $33.88 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $66.07 Typical High $331.13 | Professional | TC · Technical part | $22.91 | $66.07 | $331.13 |
Medcost Setting Facility Modifier None Typical Low $34.67 Median $46.77 Typical High $114.82 | Facility | None | $34.67 | $46.77 | $114.82 |
Medcost Setting Professional Modifier None (both parts) Typical Low $56.23 Median $128.82 Typical High $457.09 | Professional | None (both parts) | $56.23 | $128.82 | $457.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $51.29 Typical High $64.57 | Professional | None (both parts) | $33.11 | $51.29 | $64.57 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $69.18 Typical High $338.84 | Professional | None (both parts) | $40.74 | $69.18 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $30.20 Typical High $48.98 | Professional | 26 · Professional part | $22.39 | $30.20 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $30.20 Typical High $190.55 | Professional | TC · Technical part | $17.38 | $30.20 | $190.55 |
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 $17.38 Median $17.38 Typical High $18.62 | Professional | 52 · Reduced service | $17.38 | $17.38 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $7.41 | Professional | 53 · Discontinued | $6.92 | $6.92 | $7.41 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $27.54 Median $27.54 Typical High $30.20 | Professional | FX · Film X-ray | $27.54 | $27.54 | $30.20 |
Where South Carolina sits
The same service costs 7.2 times more in Alabama than in Florida. 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
$56.23
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.