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 $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $173.78 | Professional | None (both parts) | $162.18 | $162.18 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $30.90 | Professional | 26 · Professional part | $28.84 | $28.84 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $144.54 | Professional | TC · Technical part | $131.83 | $131.83 | $144.54 |
BCBS South Carolina Setting Facility Modifier None Typical Low $537.03 Median $1,000.00 Typical High $2,137.96 | Facility | None | $537.03 | $1,000.00 | $2,137.96 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | TC · Technical part | $363.08 | $363.08 | $363.08 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $165.96 Median $177.83 Typical High $269.15 | Professional | None (both parts) | $165.96 | $177.83 | $269.15 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $75.86 Typical High $77.62 | Professional | 26 · Professional part | $31.62 | $75.86 | $77.62 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $144.54 Typical High $158.49 | Professional | TC · Technical part | $87.10 | $144.54 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $1,174.90 Typical High $2,137.96 | Facility | None | $977.24 | $1,174.90 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $245.47 Typical High $489.78 | Professional | None (both parts) | $173.78 | $245.47 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $47.86 Typical High $85.11 | Professional | 26 · Professional part | $32.36 | $47.86 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $204.17 Typical High $398.11 | Professional | TC · Technical part | $141.25 | $204.17 | $398.11 |
Medcost Setting Facility Modifier None Typical Low $144.54 Median $245.47 Typical High $933.25 | Facility | None | $144.54 | $245.47 | $933.25 |
Medcost Setting Professional Modifier None (both parts) Typical Low $218.78 Median $245.47 Typical High $275.42 | Professional | None (both parts) | $218.78 | $245.47 | $275.42 |
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 $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 $239.88 Typical High $371.54 | Professional | None (both parts) | $181.97 | $239.88 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $42.66 Typical High $66.07 | Professional | 26 · Professional part | $32.36 | $42.66 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $194.98 Typical High $309.03 | Professional | TC · Technical part | $151.36 | $194.98 | $309.03 |
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 $81.28 Median $81.28 Typical High $87.10 | Professional | 52 · Reduced service | $81.28 | $81.28 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $35.48 | Professional | 53 · Discontinued | $32.36 | $32.36 | $35.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $128.82 Typical High $141.25 | Professional | FX · Film X-ray | $128.82 | $128.82 | $141.25 |
Where South Carolina sits
The same service costs 4.6 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· 32nd of 51
$240
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.