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 $69.18 Median $371.54 Typical High $371.54 | Professional | 26 · Professional part | $69.18 | $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 $2,290.87 Median $5,011.87 Typical High $6,918.31 | Facility | None | $2,290.87 | $5,011.87 | $6,918.31 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Facility | TC · Technical part | $3,235.94 | $3,235.94 | $3,235.94 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $2,041.74 Typical High $2,951.21 | Professional | None (both parts) | $1,412.54 | $2,041.74 | $2,951.21 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $100.00 Typical High $138.04 | Professional | 26 · Professional part | $64.57 | $100.00 | $138.04 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $1,318.26 Median $1,949.84 Typical High $2,818.38 | Professional | TC · Technical part | $1,318.26 | $1,949.84 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $3,019.95 Typical High $7,413.10 | Facility | None | $1,949.84 | $3,019.95 | $7,413.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $660.69 Typical High $1,380.38 | Professional | None (both parts) | $275.42 | $660.69 | $1,380.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $100.00 Typical High $177.83 | Professional | 26 · Professional part | $67.61 | $100.00 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $575.44 Typical High $1,202.26 | Professional | TC · Technical part | $204.17 | $575.44 | $1,202.26 |
Medcost Setting Facility Modifier None Typical Low $75.86 Median $1,819.70 Typical High $3,019.95 | Facility | None | $75.86 | $1,819.70 | $3,019.95 |
Medcost Setting Professional Modifier None (both parts) Typical Low $239.88 Median $1,174.90 Typical High $1,905.46 | Professional | None (both parts) | $239.88 | $1,174.90 | $1,905.46 |
Molina Setting Professional Modifier None (both parts) Typical Low $35.48 Median $54.95 Typical High $66.07 | Professional | None (both parts) | $35.48 | $54.95 | $66.07 |
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 $1,230.27 Median $1,698.24 Typical High $2,951.21 | Professional | None (both parts) | $1,230.27 | $1,698.24 | $2,951.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $85.11 Typical High $144.54 | Professional | 26 · Professional part | $66.07 | $85.11 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $1,148.15 Median $1,621.81 Typical High $2,754.23 | Professional | TC · Technical part | $1,148.15 | $1,621.81 | $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 3.6 times more in Nebraska than in Montana. 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· 30th of 51
$1,514
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.