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 $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $213.80 | Professional | None (both parts) | $177.83 | $177.83 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $43.65 | Professional | 26 · Professional part | $37.15 | $37.15 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $169.82 | Professional | TC · Technical part | $141.25 | $141.25 | $169.82 |
BCBS South Carolina Setting Facility Modifier None Typical Low $575.44 Median $1,122.02 Typical High $2,137.96 | Facility | None | $575.44 | $1,122.02 | $2,137.96 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | TC · Technical part | $457.09 | $457.09 | $457.09 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $194.98 Median $263.03 Typical High $436.52 | Professional | None (both parts) | $194.98 | $263.03 | $436.52 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $104.71 Typical High $154.88 | Professional | 26 · Professional part | $42.66 | $104.71 | $154.88 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $154.88 Typical High $288.40 | Professional | TC · Technical part | $131.83 | $154.88 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,584.89 Typical High $2,818.38 | Facility | None | $1,023.29 | $1,584.89 | $2,818.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $288.40 Typical High $537.03 | Professional | None (both parts) | $213.80 | $288.40 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $64.57 Typical High $112.20 | Professional | 26 · Professional part | $44.67 | $64.57 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $229.09 Typical High $426.58 | Professional | TC · Technical part | $169.82 | $229.09 | $426.58 |
Medcost Setting Facility Modifier None Typical Low $177.83 Median $263.03 Typical High $933.25 | Facility | None | $177.83 | $263.03 | $933.25 |
Medcost Setting Professional Modifier None (both parts) Typical Low $239.88 Median $338.84 Typical High $346.74 | Professional | None (both parts) | $239.88 | $338.84 | $346.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $56.23 Median $239.88 Typical High $363.08 | Professional | None (both parts) | $56.23 | $239.88 | $363.08 |
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 $204.17 Median $275.42 Typical High $407.38 | Professional | None (both parts) | $204.17 | $275.42 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $56.23 Typical High $89.13 | Professional | 26 · Professional part | $41.69 | $56.23 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $218.78 Typical High $323.59 | Professional | TC · Technical part | $158.49 | $218.78 | $323.59 |
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 $89.13 Median $89.13 Typical High $95.50 | Professional | 52 · Reduced service | $89.13 | $89.13 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $38.02 | Professional | 53 · Discontinued | $35.48 | $35.48 | $38.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $141.25 Median $141.25 Typical High $154.88 | Professional | FX · Film X-ray | $141.25 | $141.25 | $154.88 |
Where South Carolina sits
The same service costs 3.8 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· 35th 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.