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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $154.88 | Professional | None (both parts) | $128.82 | $128.82 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $17.78 Typical High $19.95 | Professional | 26 · Professional part | $17.78 | $17.78 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $134.90 | Professional | TC · Technical part | $112.20 | $112.20 | $134.90 |
BCBS South Carolina Setting Facility Modifier None Typical Low $524.81 Median $1,023.29 Typical High $2,137.96 | Facility | None | $524.81 | $1,023.29 | $2,137.96 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | TC · Technical part | $354.81 | $354.81 | $354.81 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $141.25 Median $144.54 Typical High $234.42 | Professional | None (both parts) | $141.25 | $144.54 | $234.42 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $60.26 Typical High $85.11 | Professional | 26 · Professional part | $19.50 | $60.26 | $85.11 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $95.50 Typical High $151.36 | Professional | TC · Technical part | $83.18 | $95.50 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $1,174.90 Typical High $2,137.96 | Facility | None | $831.76 | $1,174.90 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $204.17 Typical High $389.05 | Professional | None (both parts) | $147.91 | $204.17 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $30.20 Typical High $52.48 | Professional | 26 · Professional part | $20.89 | $30.20 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $173.78 Typical High $338.84 | Professional | TC · Technical part | $125.89 | $173.78 | $338.84 |
Medcost Setting Facility Modifier None Typical Low $128.82 Median $173.78 Typical High $416.87 | Facility | None | $128.82 | $173.78 | $416.87 |
Medcost Setting Professional Modifier None (both parts) Typical Low $181.97 Median $218.78 Typical High $239.88 | Professional | None (both parts) | $181.97 | $218.78 | $239.88 |
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 $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 $147.91 Median $199.53 Typical High $302.00 | Professional | None (both parts) | $147.91 | $199.53 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $26.30 Typical High $41.69 | Professional | 26 · Professional part | $19.95 | $26.30 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $173.78 Typical High $263.03 | Professional | TC · Technical part | $125.89 | $173.78 | $263.03 |
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 $64.57 Median $64.57 Typical High $70.79 | Professional | 52 · Reduced service | $64.57 | $64.57 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $28.18 | Professional | 53 · Discontinued | $25.70 | $25.70 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $104.71 Typical High $112.20 | Professional | FX · Film X-ray | $104.71 | $104.71 | $112.20 |
Where South Carolina sits
The same service costs 4.4 times more in Alaska 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· 33rd of 51
$195
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.