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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $151.36 | Professional | None (both parts) | $138.04 | $138.04 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $19.05 | Professional | 26 · Professional part | $17.38 | $17.38 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $131.83 | Professional | TC · Technical part | $120.23 | $120.23 | $131.83 |
BCBS South Carolina Setting Facility Modifier None Typical Low $338.84 Median $630.96 Typical High $1,288.25 | Facility | None | $338.84 | $630.96 | $1,288.25 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | TC · Technical part | $223.87 | $223.87 | $223.87 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $138.04 Median $154.88 Typical High $223.87 | Professional | None (both parts) | $138.04 | $154.88 | $223.87 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $25.12 Typical High $95.50 | Professional | 26 · Professional part | $19.50 | $25.12 | $95.50 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $112.20 Typical High $144.54 | Professional | TC · Technical part | $63.10 | $112.20 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,174.90 Typical High $2,187.76 | Facility | None | $891.25 | $1,174.90 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $213.80 Typical High $416.87 | Professional | None (both parts) | $144.54 | $213.80 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $30.20 Typical High $52.48 | Professional | 26 · Professional part | $20.42 | $30.20 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $186.21 Typical High $363.08 | Professional | TC · Technical part | $123.03 | $186.21 | $363.08 |
Medcost Setting Facility Modifier None Typical Low $120.23 Median $186.21 Typical High $446.68 | Facility | None | $120.23 | $186.21 | $446.68 |
Medcost Setting Professional Modifier None (both parts) Typical Low $186.21 Median $204.17 Typical High $229.09 | Professional | None (both parts) | $186.21 | $204.17 | $229.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $144.54 Median $213.80 Typical High $302.00 | Professional | None (both parts) | $144.54 | $213.80 | $302.00 |
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 $154.88 Median $208.93 Typical High $323.59 | Professional | None (both parts) | $154.88 | $208.93 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $25.70 Typical High $41.69 | Professional | 26 · Professional part | $19.50 | $25.70 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $181.97 Typical High $281.84 | Professional | TC · Technical part | $134.90 | $181.97 | $281.84 |
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 $69.18 Median $69.18 Typical High $75.86 | Professional | 52 · Reduced service | $69.18 | $69.18 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $30.20 | Professional | 53 · Discontinued | $27.54 | $27.54 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $109.65 Typical High $120.23 | Professional | FX · Film X-ray | $109.65 | $109.65 | $120.23 |
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· 35th of 51
$204
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.