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 $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $158.49 | Professional | None (both parts) | $131.83 | $131.83 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $13.80 | Professional | 26 · Professional part | $12.02 | $12.02 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $144.54 | Professional | TC · Technical part | $120.23 | $120.23 | $144.54 |
BCBS Setting Facility Modifier None Typical Low $512.86 Median $1,122.02 Typical High $2,454.71 | Facility | None | $512.86 | $1,122.02 | $2,454.71 |
BCBS Setting Facility Modifier TC · Technical part Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | TC · Technical part | $524.81 | $524.81 | $524.81 |
BCBS Setting Professional Modifier None (both parts) Typical Low $79.43 Median $89.13 Typical High $151.36 | Professional | None (both parts) | $79.43 | $89.13 | $151.36 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $33.11 Typical High $33.88 | Professional | 26 · Professional part | $13.49 | $33.11 | $33.88 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $70.79 Typical High $131.83 | Professional | TC · Technical part | $45.71 | $70.79 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,584.89 Typical High $2,818.38 | Facility | None | $891.25 | $1,584.89 | $2,818.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $186.21 Typical High $398.11 | Professional | None (both parts) | $93.33 | $186.21 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $19.95 Typical High $36.31 | Professional | 26 · Professional part | $14.45 | $19.95 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $173.78 Typical High $363.08 | Professional | TC · Technical part | $72.44 | $173.78 | $363.08 |
Medcost Setting Facility Modifier None Typical Low $69.18 Median $177.83 Typical High $426.58 | Facility | None | $69.18 | $177.83 | $426.58 |
Medcost Setting Professional Modifier None (both parts) Typical Low $120.23 Median $151.36 Typical High $229.09 | Professional | None (both parts) | $120.23 | $151.36 | $229.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $131.83 Median $204.17 Typical High $257.04 | Professional | None (both parts) | $131.83 | $204.17 | $257.04 |
United Setting Facility Modifier None Typical Low $2,290.87 Median $2,754.23 Typical High $3,630.78 | Facility | None | $2,290.87 | $2,754.23 | $3,630.78 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $190.55 Typical High $302.00 | Professional | None (both parts) | $147.91 | $190.55 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $18.20 Typical High $28.84 | Professional | 26 · Professional part | $13.18 | $18.20 | $28.84 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $177.83 Typical High $281.84 | Professional | TC · Technical part | $134.90 | $177.83 | $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 $66.07 Median $66.07 Typical High $72.44 | Professional | 52 · Reduced service | $66.07 | $66.07 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $28.84 | Professional | 53 · Discontinued | $26.30 | $26.30 | $28.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $107.15 Typical High $114.82 | Professional | FX · Film X-ray | $107.15 | $107.15 | $114.82 |
Where South Carolina sits
The same service costs 4.3 times more in Alabama than in Indiana. 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· 41st of 51
$170
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.