How much rates vary
Facilitymedian $3,388 · 10th to 90th $525 to $9,550Professionalmedian $170 · 10th to 90th $110 to $302
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 $27,542.29 Typical High $95,499.26 | Facility | None | $158.49 | $27,542.29 | $95,499.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $154.88 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $112.20 | $114.82 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $42.66 Typical High $42.66 | Professional | TC · Technical part | $41.69 | $42.66 | $42.66 |
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 $169.82 Median $234.42 Typical High $389.05 | Professional | None (both parts) | $169.82 | $234.42 | $389.05 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $134.90 Typical High $223.87 | Professional | 26 · Professional part | $107.15 | $134.90 | $223.87 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $60.26 Typical High $165.96 | Professional | TC · Technical part | $48.98 | $60.26 | $165.96 |
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 $169.82 Median $199.53 Typical High $371.54 | Professional | None (both parts) | $169.82 | $199.53 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $144.54 Typical High $275.42 | Professional | 26 · Professional part | $125.89 | $144.54 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $53.70 Typical High $100.00 | Professional | TC · Technical part | $45.71 | $53.70 | $100.00 |
Medcost Setting Facility Modifier None Typical Low $147.91 Median $158.49 Typical High $302.00 | Facility | None | $147.91 | $158.49 | $302.00 |
Medcost Setting Professional Modifier None (both parts) Typical Low $177.83 Median $213.80 Typical High $257.04 | Professional | None (both parts) | $177.83 | $213.80 | $257.04 |
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 $151.36 Median $190.55 Typical High $275.42 | Professional | None (both parts) | $151.36 | $190.55 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $134.90 Typical High $204.17 | Professional | 26 · Professional part | $112.20 | $134.90 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $52.48 Typical High $81.28 | Professional | TC · Technical part | $38.90 | $52.48 | $81.28 |
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 $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 $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $30.90 | $31.62 | $31.62 |
Where South Carolina sits
The same service costs 8.3 times more in Louisiana 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· 43rd of 51
$191
LA $1,288HI $155
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.