How much rates vary
Facilitymedian $251 · 10th to 90th $85 to $2,344Professionalmedian $138 · 10th to 90th $72 to $240
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 $158.49 Median $204.17 Typical High $22,908.68 | Facility | None | $158.49 | $204.17 | $22,908.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $158.49 Typical High $208.93 | Professional | None (both parts) | $154.88 | $158.49 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $75.86 Typical High $114.82 | Professional | 26 · Professional part | $74.13 | $75.86 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $85.11 Typical High $109.65 | Professional | TC · Technical part | $83.18 | $85.11 | $109.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $128.82 | $128.82 | $128.82 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $138.04 Median $177.83 Typical High $229.09 | Professional | None (both parts) | $138.04 | $177.83 | $229.09 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $87.10 Typical High $151.36 | Professional | 26 · Professional part | $70.79 | $87.10 | $151.36 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $91.20 Typical High $158.49 | Professional | TC · Technical part | $66.07 | $91.20 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $204.17 Typical High $380.19 | Professional | None (both parts) | $173.78 | $204.17 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $95.50 Typical High $181.97 | Professional | 26 · Professional part | $83.18 | $95.50 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $109.65 Typical High $199.53 | Professional | TC · Technical part | $91.20 | $109.65 | $199.53 |
Medcost Setting Facility Modifier None Typical Low $151.36 Median $158.49 Typical High $213.80 | Facility | None | $151.36 | $158.49 | $213.80 |
Medcost Setting Professional Modifier None (both parts) Typical Low $177.83 Median $218.78 Typical High $269.15 | Professional | None (both parts) | $177.83 | $218.78 | $269.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $66.07 Median $93.33 Typical High $125.89 | Professional | None (both parts) | $66.07 | $93.33 | $125.89 |
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 $158.49 Median $199.53 Typical High $288.40 | Professional | None (both parts) | $158.49 | $199.53 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $89.13 Typical High $134.90 | Professional | 26 · Professional part | $74.13 | $89.13 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $107.15 Typical High $154.88 | Professional | TC · Technical part | $85.11 | $107.15 | $154.88 |
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 $77.62 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $77.62 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $30.90 | $32.36 | $32.36 |
Where South Carolina sits
The same service costs 4.3 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· 49th of 51
$145
WI $562HI $132
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.