How much rates vary
Facilitymedian $646 · 10th to 90th $155 to $1,514Professionalmedian $288 · 10th to 90th $126 to $457
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 $363.08 Median $5,623.41 Typical High $21,877.62 | Facility | None | $363.08 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $363.08 Typical High $380.19 | Professional | None (both parts) | $295.12 | $363.08 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $104.71 Typical High $104.71 | Professional | 26 · Professional part | $83.18 | $104.71 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $257.04 Typical High $275.42 | Professional | TC · Technical part | $213.80 | $257.04 | $275.42 |
BCBS South Carolina Setting Facility Modifier None Typical Low $436.52 Median $794.33 Typical High $1,288.25 | Facility | None | $436.52 | $794.33 | $1,288.25 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | TC · Technical part | $549.54 | $549.54 | $549.54 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $158.49 Median $257.04 Typical High $354.81 | Professional | None (both parts) | $158.49 | $257.04 | $354.81 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $117.49 Typical High $169.82 | Professional | 26 · Professional part | $81.28 | $117.49 | $169.82 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $173.78 Typical High $223.87 | Professional | TC · Technical part | $25.12 | $173.78 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $371.54 Typical High $707.95 | Facility | None | $154.88 | $371.54 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $389.05 Typical High $645.65 | Professional | None (both parts) | $302.00 | $389.05 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $104.71 Typical High $186.21 | Professional | 26 · Professional part | $97.72 | $104.71 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $288.40 Typical High $457.09 | Professional | TC · Technical part | $208.93 | $288.40 | $457.09 |
Medcost Setting Facility Modifier None Typical Low $144.54 Median $436.52 Typical High $630.96 | Facility | None | $144.54 | $436.52 | $630.96 |
Medcost Setting Professional Modifier None (both parts) Typical Low $275.42 Median $346.74 Typical High $398.11 | Professional | None (both parts) | $275.42 | $346.74 | $398.11 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $151.36 | Professional | 26 · Professional part | $114.82 | $114.82 | $151.36 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $316.23 Typical High $371.54 | Professional | TC · Technical part | $251.19 | $316.23 | $371.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $114.82 Median $245.47 Typical High $446.68 | Professional | None (both parts) | $114.82 | $245.47 | $446.68 |
United Setting Facility Modifier None Typical Low $83.18 Median $446.68 Typical High $2,238.72 | Facility | None | $83.18 | $446.68 | $2,238.72 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $371.54 Typical High $645.65 | Professional | None (both parts) | $269.15 | $371.54 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $107.15 Typical High $199.53 | Professional | 26 · Professional part | $81.28 | $107.15 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $263.03 Typical High $478.63 | Professional | TC · Technical part | $181.97 | $263.03 | $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 $147.91 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $147.91 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $58.88 | $72.44 | $72.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $138.04 Median $177.83 Typical High $263.03 | Professional | 51 · Multiple procedures | $138.04 | $177.83 | $263.03 |
Where South Carolina sits
The same service costs 4.8 times more in Alaska than in Utah. 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· 43rd of 51
$309
AK $1,000UT $209
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.