How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $46.77 Typical High $46.77 | Professional | None (both parts) | $45.71 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $23.99 Typical High $23.99 | Professional | 26 · Professional part | $22.91 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $23.44 Typical High $23.44 | Professional | 52 · Reduced service | $22.91 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.33 Typical High $9.33 | Professional | 53 · Discontinued | $9.12 | $9.33 | $9.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | TC · Technical part | $22.91 | $22.91 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
Medcost Setting Facility Modifier None Typical Low $41.69 Median $51.29 Typical High $63.10 | Facility | None | $41.69 | $51.29 | $63.10 |
Medcost Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $56.23 | Professional | None (both parts) | $40.74 | $40.74 | $56.23 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $42.66 | Professional | 26 · Professional part | $20.42 | $20.42 | $42.66 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $19.95 Typical High $39.81 | Professional | TC · Technical part | $19.95 | $19.95 | $39.81 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
United Setting Facility Modifier None Typical Low $120.23 Median $147.91 Typical High $190.55 | Facility | None | $120.23 | $147.91 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $33.88 Median $45.71 Typical High $72.44 | Professional | None (both parts) | $33.88 | $45.71 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $22.91 Typical High $36.31 | Professional | 26 · Professional part | $16.98 | $22.91 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $22.39 Typical High $36.31 | Professional | TC · Technical part | $17.38 | $22.39 | $36.31 |
1 more rate 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $19.95 Median $19.95 Typical High $35.48 | Professional | 51 · Multiple procedures | $19.95 | $19.95 | $35.48 |
Where South Carolina sits
The same service costs 4.2 times more in Nebraska than in Arkansas. 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· 36th of 51
$46.77
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.