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 $190.55 Median $190.55 Typical High $616.60 | Facility | None | $190.55 | $190.55 | $616.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $213.80 | Professional | None (both parts) | $190.55 | $190.55 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $30.20 | Professional | 26 · Professional part | $25.70 | $25.70 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $186.21 | Professional | TC · Technical part | $165.96 | $165.96 | $186.21 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 26 · Professional part | $23.44 | $23.44 | $23.44 |
BCBS South Carolina Setting Facility Modifier None Typical Low $501.19 Median $912.01 Typical High $1,905.46 | Facility | None | $501.19 | $912.01 | $1,905.46 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | TC · Technical part | $338.84 | $338.84 | $338.84 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $169.82 Median $194.98 Typical High $275.42 | Professional | None (both parts) | $169.82 | $194.98 | $275.42 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $43.65 Typical High $81.28 | Professional | 26 · Professional part | $29.51 | $43.65 | $81.28 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $151.36 Typical High $199.53 | Professional | TC · Technical part | $114.82 | $151.36 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $1,071.52 Median $1,202.26 Typical High $2,137.96 | Facility | None | $1,071.52 | $1,202.26 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $239.88 Typical High $575.44 | Professional | None (both parts) | $162.18 | $239.88 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $43.65 Typical High $75.86 | Professional | 26 · Professional part | $30.20 | $43.65 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $190.55 Typical High $501.19 | Professional | TC · Technical part | $131.83 | $190.55 | $501.19 |
Medcost Setting Facility Modifier None Typical Low $151.36 Median $213.80 Typical High $616.60 | Facility | None | $151.36 | $213.80 | $616.60 |
Medcost Setting Professional Modifier None (both parts) Typical Low $194.98 Median $257.04 Typical High $288.40 | Professional | None (both parts) | $194.98 | $257.04 | $288.40 |
Molina Setting Professional Modifier None (both parts) Typical Low $56.23 Median $288.40 Typical High $426.58 | Professional | None (both parts) | $56.23 | $288.40 | $426.58 |
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 $162.18 Median $263.03 Typical High $426.58 | Professional | None (both parts) | $162.18 | $263.03 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $38.02 Typical High $60.26 | Professional | 26 · Professional part | $29.51 | $38.02 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $223.87 Typical High $371.54 | Professional | TC · Technical part | $131.83 | $223.87 | $371.54 |
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 $95.50 Median $95.50 Typical High $104.71 | Professional | 52 · Reduced service | $95.50 | $95.50 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $41.69 | Professional | 53 · Discontinued | $38.02 | $38.02 | $41.69 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $151.36 Median $151.36 Typical High $165.96 | Professional | FX · Film X-ray | $151.36 | $151.36 | $165.96 |
Where South Carolina sits
The same service costs 5.2 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· 30th of 51
$269
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.