How much rates vary
Facilitymedian $3,548 · 10th to 90th $525 to $12,882Professionalmedian $195 · 10th to 90th $110 to $372
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 $194.98 Median $18,197.01 Typical High $74,131.02 | Facility | None | $194.98 | $18,197.01 | $74,131.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $186.21 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $117.49 Typical High $117.49 | Professional | 26 · Professional part | $109.65 | $117.49 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | TC · Technical part | $74.13 | $74.13 | $74.13 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,621.81 Median $3,715.35 Typical High $5,128.61 | Facility | None | $1,621.81 | $3,715.35 | $5,128.61 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | TC · Technical part | $2,187.76 | $2,187.76 | $2,187.76 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $194.98 Median $316.23 Typical High $524.81 | Professional | None (both parts) | $194.98 | $316.23 | $524.81 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $141.25 Typical High $275.42 | Professional | 26 · Professional part | $109.65 | $141.25 | $275.42 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $234.42 | Professional | TC · Technical part | $85.11 | $85.11 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $6,918.31 | Facility | None | $100.00 | $100.00 | $6,918.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $245.47 Typical High $457.09 | Professional | None (both parts) | $204.17 | $245.47 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $147.91 Typical High $275.42 | Professional | 26 · Professional part | $125.89 | $147.91 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $95.50 Typical High $173.78 | Professional | TC · Technical part | $79.43 | $95.50 | $173.78 |
Medcost Setting Facility Modifier None Typical Low $177.83 Median $194.98 Typical High $309.03 | Facility | None | $177.83 | $194.98 | $309.03 |
Medcost Setting Professional Modifier None (both parts) Typical Low $218.78 Median $309.03 Typical High $416.87 | Professional | None (both parts) | $218.78 | $309.03 | $416.87 |
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 $512.86 Median $1,479.11 Typical High $20,417.38 | Facility | None | $512.86 | $1,479.11 | $20,417.38 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $234.42 Typical High $346.74 | Professional | None (both parts) | $190.55 | $234.42 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $138.04 Typical High $208.93 | Professional | 26 · Professional part | $112.20 | $138.04 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $91.20 Typical High $147.91 | Professional | TC · Technical part | $72.44 | $91.20 | $147.91 |
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 $93.33 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $93.33 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $38.02 | $38.90 | $38.90 |
Where South Carolina sits
The same service costs 30.2 times more in Oklahoma 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· 48th of 51
$214
OK $4,786HI $158
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.