How much rates vary
Facilitymedian $257 · 10th to 90th $85 to $2,239Professionalmedian $200 · 10th to 90th $110 to $363
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 $199.53 Median $199.53 Typical High $257.04 | Facility | None | $199.53 | $199.53 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $199.53 Typical High $338.84 | Professional | None (both parts) | $194.98 | $199.53 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $72.44 Typical High $169.82 | Professional | 26 · Professional part | $70.79 | $72.44 | $169.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $128.82 Typical High $213.80 | Professional | TC · Technical part | $125.89 | $128.82 | $213.80 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $102.33 Typical High $162.18 | Professional | 26 · Professional part | $39.81 | $102.33 | $162.18 |
BCBS South Carolina Setting Facility Modifier None Typical Low $891.25 Median $1,348.96 Typical High $12,882.50 | Facility | None | $891.25 | $1,348.96 | $12,882.50 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $234.42 Median $239.88 Typical High $281.84 | Professional | None (both parts) | $234.42 | $239.88 | $281.84 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $104.71 Typical High $144.54 | Professional | 26 · Professional part | $89.13 | $104.71 | $144.54 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $147.91 Typical High $177.83 | Professional | TC · Technical part | $144.54 | $147.91 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $316.23 Typical High $478.63 | Professional | None (both parts) | $269.15 | $316.23 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $112.20 Typical High $173.78 | Professional | 26 · Professional part | $97.72 | $112.20 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $208.93 Typical High $302.00 | Professional | TC · Technical part | $173.78 | $208.93 | $302.00 |
Medcost Setting Facility Modifier None Typical Low $199.53 Median $239.88 Typical High $269.15 | Facility | None | $199.53 | $239.88 | $269.15 |
Medcost Setting Professional Modifier None (both parts) Typical Low $263.03 Median $436.52 Typical High $446.68 | Professional | None (both parts) | $263.03 | $436.52 | $446.68 |
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 $239.88 Median $323.59 Typical High $457.09 | Professional | None (both parts) | $239.88 | $323.59 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $107.15 Typical High $154.88 | Professional | 26 · Professional part | $70.79 | $107.15 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $213.80 Typical High $316.23 | Professional | TC · Technical part | $165.96 | $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 $97.72 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $97.72 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $38.90 | $39.81 | $39.81 |
Where South Carolina sits
The same service costs 4.3 times more in Wisconsin than in Oregon. 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· 48th of 51
$209
WI $776OR $182
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.