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 $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $61.66 | Professional | None (both parts) | $54.95 | $54.95 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $6.03 Typical High $6.76 | Professional | 26 · Professional part | $6.03 | $6.03 | $6.76 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $54.95 | Professional | TC · Technical part | $48.98 | $48.98 | $54.95 |
BCBS South Carolina Setting Facility Modifier None Typical Low $245.47 Median $436.52 Typical High $741.31 | Facility | None | $245.47 | $436.52 | $741.31 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $67.61 Median $89.13 Typical High $208.93 | Professional | None (both parts) | $67.61 | $89.13 | $208.93 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $19.05 Typical High $72.44 | Professional | 26 · Professional part | $7.41 | $19.05 | $72.44 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $64.57 Typical High $190.55 | Professional | TC · Technical part | $15.85 | $64.57 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $173.78 Typical High $302.00 | Facility | None | $151.36 | $173.78 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $93.33 Typical High $165.96 | Professional | None (both parts) | $67.61 | $93.33 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $11.75 Typical High $26.30 | Professional | 26 · Professional part | $8.32 | $11.75 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $81.28 Typical High $147.91 | Professional | TC · Technical part | $58.88 | $81.28 | $147.91 |
Medcost Setting Facility Modifier None Typical Low $41.69 Median $60.26 Typical High $181.97 | Facility | None | $41.69 | $60.26 | $181.97 |
Medcost Setting Professional Modifier None (both parts) Typical Low $77.62 Median $109.65 Typical High $117.49 | Professional | None (both parts) | $77.62 | $109.65 | $117.49 |
Molina Setting Professional Modifier None (both parts) Typical Low $66.07 Median $102.33 Typical High $128.82 | Professional | None (both parts) | $66.07 | $102.33 | $128.82 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $89.13 Typical High $131.83 | Professional | None (both parts) | $64.57 | $89.13 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $9.55 Typical High $15.85 | Professional | 26 · Professional part | $7.08 | $9.55 | $15.85 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $79.43 Typical High $120.23 | Professional | TC · Technical part | $56.23 | $79.43 | $120.23 |
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 $27.54 Median $27.54 Typical High $30.90 | Professional | 52 · Reduced service | $27.54 | $27.54 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $12.30 | Professional | 53 · Discontinued | $10.96 | $10.96 | $12.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $43.65 Median $43.65 Typical High $50.12 | Professional | FX · Film X-ray | $43.65 | $43.65 | $50.12 |
Where South Carolina sits
The same service costs 4.6 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· 22nd of 51
$102
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.