How much rates vary
Facilitymedian $316 · 10th to 90th $87 to $2,344Professionalmedian $257 · 10th to 90th $112 to $646
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 $263.03 Median $263.03 Typical High $21,877.62 | Facility | None | $263.03 | $263.03 | $21,877.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $263.03 Typical High $346.74 | Professional | None (both parts) | $257.04 | $263.03 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $95.50 Typical High $208.93 | Professional | 26 · Professional part | $91.20 | $95.50 | $208.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $234.42 | Professional | TC · Technical part | $165.96 | $165.96 | $234.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $128.82 Typical High $165.96 | Professional | 26 · Professional part | $97.72 | $128.82 | $165.96 |
BCBS South Carolina Setting Facility Modifier None Typical Low $12,882.50 Median $12,882.50 Typical High $12,882.50 | Facility | None | $12,882.50 | $12,882.50 | $12,882.50 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $173.78 Median $354.81 Typical High $851.14 | Professional | None (both parts) | $173.78 | $354.81 | $851.14 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $95.50 Typical High $128.82 | Professional | 26 · Professional part | $89.13 | $95.50 | $128.82 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $234.42 Typical High $758.58 | Professional | TC · Technical part | $83.18 | $234.42 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $338.84 Typical High $630.96 | Professional | None (both parts) | $281.84 | $338.84 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $120.23 Typical High $229.09 | Professional | 26 · Professional part | $102.33 | $120.23 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $213.80 Typical High $398.11 | Professional | TC · Technical part | $177.83 | $213.80 | $398.11 |
Medcost Setting Facility Modifier None Typical Low $251.19 Median $263.03 Typical High $354.81 | Facility | None | $251.19 | $263.03 | $354.81 |
Medcost Setting Professional Modifier None (both parts) Typical Low $295.12 Median $380.19 Typical High $436.52 | Professional | None (both parts) | $295.12 | $380.19 | $436.52 |
Molina Setting Professional Modifier None (both parts) Typical Low $100.00 Median $138.04 Typical High $190.55 | Professional | None (both parts) | $100.00 | $138.04 | $190.55 |
United Setting Facility Modifier None Typical Low $83.18 Median $426.58 Typical High $2,238.72 | Facility | None | $83.18 | $426.58 | $2,238.72 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $323.59 Typical High $478.63 | Professional | None (both parts) | $263.03 | $323.59 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $112.20 Typical High $169.82 | Professional | 26 · Professional part | $93.33 | $112.20 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $213.80 Typical High $316.23 | Professional | TC · Technical part | $169.82 | $213.80 | $316.23 |
2 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 $128.82 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $128.82 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $51.29 | $52.48 | $52.48 |
Where South Carolina sits
The same service costs 6.5 times more in Wisconsin than in Hawaii. 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· 46th of 51
$263
WI $891HI $138
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.