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 $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $97.72 | Professional | None (both parts) | $91.20 | $91.20 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $16.60 | Professional | 26 · Professional part | $14.79 | $14.79 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $81.28 | Professional | TC · Technical part | $75.86 | $75.86 | $81.28 |
BCBS South Carolina Setting Facility Modifier None Typical Low $275.42 Median $549.54 Typical High $1,174.90 | Facility | None | $275.42 | $549.54 | $1,174.90 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | TC · Technical part | $186.21 | $186.21 | $186.21 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $91.20 Median $93.33 Typical High $147.91 | Professional | None (both parts) | $91.20 | $93.33 | $147.91 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $41.69 Typical High $89.13 | Professional | 26 · Professional part | $16.60 | $41.69 | $89.13 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $67.61 Typical High $81.28 | Professional | TC · Technical part | $15.14 | $67.61 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $1,174.90 Typical High $2,137.96 | Facility | None | $489.78 | $1,174.90 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $128.82 Typical High $275.42 | Professional | None (both parts) | $87.10 | $128.82 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $25.12 Typical High $44.67 | Professional | 26 · Professional part | $17.38 | $25.12 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $102.33 Typical High $229.09 | Professional | TC · Technical part | $70.79 | $102.33 | $229.09 |
Medcost Setting Facility Modifier None Typical Low $81.28 Median $123.03 Typical High $309.03 | Facility | None | $81.28 | $123.03 | $309.03 |
Medcost Setting Professional Modifier None (both parts) Typical Low $107.15 Median $138.04 Typical High $151.36 | Professional | None (both parts) | $107.15 | $138.04 | $151.36 |
Molina Setting Professional Modifier None (both parts) Typical Low $72.44 Median $114.82 Typical High $181.97 | Professional | None (both parts) | $72.44 | $114.82 | $181.97 |
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 $87.10 Median $123.03 Typical High $190.55 | Professional | None (both parts) | $87.10 | $123.03 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $21.88 Typical High $34.67 | Professional | 26 · Professional part | $16.22 | $21.88 | $34.67 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $102.33 Typical High $158.49 | Professional | TC · Technical part | $72.44 | $102.33 | $158.49 |
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 $45.71 Median $45.71 Typical High $48.98 | Professional | 52 · Reduced service | $45.71 | $45.71 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $19.50 | Professional | 53 · Discontinued | $18.20 | $18.20 | $19.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $72.44 Typical High $77.62 | Professional | FX · Film X-ray | $72.44 | $72.44 | $77.62 |
Where South Carolina sits
The same service costs 5.5 times more in Alabama 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· 40th of 51
$115
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.