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 $251.19 Median $251.19 Typical High $812.83 | Facility | None | $251.19 | $251.19 | $812.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $275.42 | Professional | None (both parts) | $251.19 | $251.19 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $28.84 | Professional | 26 · Professional part | $26.92 | $26.92 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $251.19 | Professional | TC · Technical part | $223.87 | $223.87 | $251.19 |
BCBS South Carolina Setting Facility Modifier None Typical Low $851.14 Median $1,621.81 Typical High $3,715.35 | Facility | None | $851.14 | $1,621.81 | $3,715.35 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | TC · Technical part | $588.84 | $588.84 | $588.84 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $234.42 Median $269.15 Typical High $389.05 | Professional | None (both parts) | $234.42 | $269.15 | $389.05 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $67.61 Typical High $75.86 | Professional | 26 · Professional part | $30.20 | $67.61 | $75.86 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $223.87 Typical High $263.03 | Professional | TC · Technical part | $158.49 | $223.87 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $1,445.44 Median $1,584.89 Typical High $2,818.38 | Facility | None | $1,445.44 | $1,584.89 | $2,818.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $389.05 Typical High $758.58 | Professional | None (both parts) | $263.03 | $389.05 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $45.71 Typical High $81.28 | Professional | 26 · Professional part | $30.90 | $45.71 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $354.81 Typical High $676.08 | Professional | TC · Technical part | $229.09 | $354.81 | $676.08 |
Medcost Setting Facility Modifier None Typical Low $208.93 Median $389.05 Typical High $1,778.28 | Facility | None | $208.93 | $389.05 | $1,778.28 |
Medcost Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $426.58 | Professional | None (both parts) | $354.81 | $354.81 | $426.58 |
Molina Setting Professional Modifier None (both parts) Typical Low $56.23 Median $380.19 Typical High $549.54 | Professional | None (both parts) | $56.23 | $380.19 | $549.54 |
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 $288.40 Median $371.54 Typical High $588.84 | Professional | None (both parts) | $288.40 | $371.54 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $39.81 Typical High $63.10 | Professional | 26 · Professional part | $30.20 | $39.81 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $331.13 Typical High $537.03 | Professional | TC · Technical part | $257.04 | $331.13 | $537.03 |
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 $125.89 Median $125.89 Typical High $138.04 | Professional | 52 · Reduced service | $125.89 | $125.89 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $54.95 | Professional | 53 · Discontinued | $50.12 | $50.12 | $54.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $204.17 Median $204.17 Typical High $223.87 | Professional | FX · Film X-ray | $204.17 | $204.17 | $223.87 |
Where South Carolina sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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
$355
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.