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 $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $295.12 | Professional | None (both parts) | $234.42 | $234.42 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $37.15 | Professional | 26 · Professional part | $31.62 | $31.62 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $263.03 | Professional | TC · Technical part | $199.53 | $199.53 | $263.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $38.02 | $38.02 | $38.02 |
BCBS South Carolina Setting Facility Modifier None Typical Low $891.25 Median $1,659.59 Typical High $3,311.31 | Facility | None | $891.25 | $1,659.59 | $3,311.31 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | TC · Technical part | $616.60 | $616.60 | $616.60 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $251.19 Median $288.40 Typical High $436.52 | Professional | None (both parts) | $251.19 | $288.40 | $436.52 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $95.50 Typical High $102.33 | Professional | 26 · Professional part | $34.67 | $95.50 | $102.33 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $218.78 Typical High $288.40 | Professional | TC · Technical part | $190.55 | $218.78 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $1,445.44 Median $3,801.89 Typical High $6,918.31 | Facility | None | $1,445.44 | $3,801.89 | $6,918.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $380.19 Typical High $707.95 | Professional | None (both parts) | $275.42 | $380.19 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $54.95 Typical High $93.33 | Professional | 26 · Professional part | $39.81 | $54.95 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $323.59 Typical High $602.56 | Professional | TC · Technical part | $234.42 | $323.59 | $602.56 |
Medcost Setting Facility Modifier None Typical Low $234.42 Median $316.23 Typical High $1,071.52 | Facility | None | $234.42 | $316.23 | $1,071.52 |
Medcost Setting Professional Modifier None (both parts) Typical Low $371.54 Median $398.11 Typical High $446.68 | Professional | None (both parts) | $371.54 | $398.11 | $446.68 |
Molina Setting Professional Modifier None (both parts) Typical Low $56.23 Median $331.13 Typical High $478.63 | Professional | None (both parts) | $56.23 | $331.13 | $478.63 |
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 $275.42 Median $371.54 Typical High $549.54 | Professional | None (both parts) | $275.42 | $371.54 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $47.86 Typical High $79.43 | Professional | 26 · Professional part | $37.15 | $47.86 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $316.23 Typical High $478.63 | Professional | TC · Technical part | $234.42 | $316.23 | $478.63 |
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 $117.49 Median $117.49 Typical High $128.82 | Professional | 52 · Reduced service | $117.49 | $117.49 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $51.29 | Professional | 53 · Discontinued | $46.77 | $46.77 | $51.29 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $186.21 Median $186.21 Typical High $204.17 | Professional | FX · Film X-ray | $186.21 | $186.21 | $204.17 |
Where South Carolina sits
The same service costs 3.7 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· 39th of 51
$331
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.