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 $141.25 Median $141.25 Typical High $295.12 | Facility | None | $141.25 | $141.25 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $208.93 | Professional | None (both parts) | $141.25 | $141.25 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $72.44 | Professional | 26 · Professional part | $46.77 | $46.77 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $138.04 | Professional | TC · Technical part | $95.50 | $95.50 | $138.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $52.48 Typical High $57.54 | Professional | 26 · Professional part | $42.66 | $52.48 | $57.54 |
BCBS South Carolina Setting Facility Modifier None Typical Low $467.74 Median $933.25 Typical High $2,137.96 | Facility | None | $467.74 | $933.25 | $2,137.96 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | TC · Technical part | $389.05 | $389.05 | $389.05 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $162.18 Median $239.88 Typical High $338.84 | Professional | None (both parts) | $162.18 | $239.88 | $338.84 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $66.07 Typical High $104.71 | Professional | 26 · Professional part | $52.48 | $66.07 | $104.71 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $173.78 Typical High $173.78 | Professional | TC · Technical part | $109.65 | $173.78 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,584.89 Typical High $2,818.38 | Facility | None | $724.44 | $1,584.89 | $2,818.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $257.04 Typical High $426.58 | Professional | None (both parts) | $186.21 | $257.04 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $79.43 Typical High $141.25 | Professional | 26 · Professional part | $56.23 | $79.43 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $165.96 Typical High $288.40 | Professional | TC · Technical part | $131.83 | $165.96 | $288.40 |
Medcost Setting Facility Modifier None Typical Low $141.25 Median $213.80 Typical High $933.25 | Facility | None | $141.25 | $213.80 | $933.25 |
Medcost Setting Professional Modifier None (both parts) Typical Low $223.87 Median $257.04 Typical High $363.08 | Professional | None (both parts) | $223.87 | $257.04 | $363.08 |
Molina Setting Professional Modifier None (both parts) Typical Low $56.23 Median $169.82 Typical High $302.00 | Professional | None (both parts) | $56.23 | $169.82 | $302.00 |
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 $162.18 Median $208.93 Typical High $354.81 | Professional | None (both parts) | $162.18 | $208.93 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $70.79 Typical High $112.20 | Professional | 26 · Professional part | $53.70 | $70.79 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $144.54 Typical High $234.42 | Professional | TC · Technical part | $109.65 | $144.54 | $234.42 |
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 $70.79 Median $70.79 Typical High $75.86 | Professional | 52 · Reduced service | $70.79 | $70.79 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $30.20 | Professional | 53 · Discontinued | $28.18 | $28.18 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $114.82 Typical High $123.03 | Professional | FX · Film X-ray | $114.82 | $114.82 | $123.03 |
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· 42nd of 51
$200
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.