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 $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $181.97 | Professional | None (both parts) | $169.82 | $169.82 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.50 Typical High $20.89 | Professional | 26 · Professional part | $19.50 | $19.50 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $162.18 | Professional | TC · Technical part | $151.36 | $151.36 | $162.18 |
BCBS South Carolina Setting Facility Modifier None Typical Low $575.44 Median $1,023.29 Typical High $2,137.96 | Facility | None | $575.44 | $1,023.29 | $2,137.96 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | TC · Technical part | $398.11 | $398.11 | $398.11 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $316.23 | Professional | None (both parts) | $190.55 | $190.55 | $316.23 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $53.70 Typical High $79.43 | Professional | 26 · Professional part | $22.39 | $53.70 | $79.43 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $165.96 Typical High $223.87 | Professional | TC · Technical part | $123.03 | $165.96 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $1,071.52 Median $1,174.90 Typical High $2,137.96 | Facility | None | $1,071.52 | $1,174.90 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $245.47 Typical High $512.86 | Professional | None (both parts) | $173.78 | $245.47 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $33.11 Typical High $58.88 | Professional | 26 · Professional part | $22.39 | $33.11 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $213.80 Typical High $457.09 | Professional | TC · Technical part | $154.88 | $213.80 | $457.09 |
Medcost Setting Facility Modifier None Typical Low $147.91 Median $229.09 Typical High $549.54 | Facility | None | $147.91 | $229.09 | $549.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $218.78 Median $251.19 Typical High $281.84 | Professional | None (both parts) | $218.78 | $251.19 | $281.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $181.97 Median $269.15 Typical High $363.08 | Professional | None (both parts) | $181.97 | $269.15 | $363.08 |
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 $181.97 Median $245.47 Typical High $380.19 | Professional | None (both parts) | $181.97 | $245.47 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $28.18 Typical High $45.71 | Professional | 26 · Professional part | $21.88 | $28.18 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $218.78 Typical High $338.84 | Professional | TC · Technical part | $158.49 | $218.78 | $338.84 |
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 $85.11 Median $85.11 Typical High $91.20 | Professional | 52 · Reduced service | $85.11 | $85.11 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $36.31 | Professional | 53 · Discontinued | $33.88 | $33.88 | $36.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $134.90 Typical High $144.54 | Professional | FX · Film X-ray | $134.90 | $134.90 | $144.54 |
Where South Carolina sits
The same service costs 4.8 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· 29th of 51
$263
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.