How much rates vary
Facilitymedian $224 · 10th to 90th $85 to $2,188Professionalmedian $126 · 10th to 90th $71 to $257
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 $109.65 Median $109.65 Typical High $141.25 | Facility | None | $109.65 | $109.65 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $109.65 Typical High $186.21 | Professional | None (both parts) | $107.15 | $109.65 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $52.48 Typical High $102.33 | Professional | 26 · Professional part | $51.29 | $52.48 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $97.72 | Professional | TC · Technical part | $56.23 | $56.23 | $97.72 |
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 $173.78 Median $177.83 Typical High $223.87 | Professional | None (both parts) | $173.78 | $177.83 | $223.87 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $85.11 Typical High $131.83 | Professional | 26 · Professional part | $70.79 | $85.11 | $131.83 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $107.15 Typical High $128.82 | Professional | TC · Technical part | $89.13 | $107.15 | $128.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $186.21 Typical High $269.15 | Professional | None (both parts) | $158.49 | $186.21 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $87.10 Typical High $128.82 | Professional | 26 · Professional part | $77.62 | $87.10 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $97.72 Typical High $141.25 | Professional | TC · Technical part | $83.18 | $97.72 | $141.25 |
Medcost Setting Facility Modifier None Typical Low $109.65 Median $131.83 Typical High $151.36 | Facility | None | $109.65 | $131.83 | $151.36 |
Medcost Setting Professional Modifier None (both parts) Typical Low $141.25 Median $269.15 Typical High $3,311.31 | Professional | None (both parts) | $141.25 | $269.15 | $3,311.31 |
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 $154.88 Median $389.05 Typical High $3,235.94 | Professional | None (both parts) | $154.88 | $389.05 | $3,235.94 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $81.28 Typical High $123.03 | Professional | 26 · Professional part | $51.29 | $81.28 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $251.19 Typical High $3,162.28 | Professional | TC · Technical part | $95.50 | $251.19 | $3,162.28 |
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 $53.70 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $53.70 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $21.38 | $21.88 | $21.88 |
Where South Carolina sits
The same service costs 3.8 times more in Wisconsin than in Virginia. 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· 50th of 51
$129
WI $417VA $110
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.