How much rates vary
Facilitymedian $3,388 · 10th to 90th $525 to $9,550Professionalmedian $263 · 10th to 90th $182 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 $213.80 Median $27,542.29 Typical High $95,499.26 | Facility | None | $213.80 | $27,542.29 | $95,499.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $208.93 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $162.18 Typical High $162.18 | Professional | 26 · Professional part | $158.49 | $162.18 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | TC · Technical part | $51.29 | $51.29 | $51.29 |
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 $229.09 Median $316.23 Typical High $467.74 | Professional | None (both parts) | $229.09 | $316.23 | $467.74 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $190.55 Typical High $316.23 | Professional | 26 · Professional part | $151.36 | $190.55 | $316.23 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $77.62 Typical High $147.91 | Professional | TC · Technical part | $60.26 | $77.62 | $147.91 |
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 $234.42 Median $275.42 Typical High $501.19 | Professional | None (both parts) | $234.42 | $275.42 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $204.17 Typical High $389.05 | Professional | 26 · Professional part | $177.83 | $204.17 | $389.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $66.07 Typical High $120.23 | Professional | TC · Technical part | $54.95 | $66.07 | $120.23 |
Medcost Setting Facility Modifier None Typical Low $199.53 Median $213.80 Typical High $426.58 | Facility | None | $199.53 | $213.80 | $426.58 |
Medcost Setting Professional Modifier None (both parts) Typical Low $239.88 Median $323.59 Typical High $354.81 | Professional | None (both parts) | $239.88 | $323.59 | $354.81 |
Molina Setting Professional Modifier None (both parts) Typical Low $162.18 Median $239.88 Typical High $338.84 | Professional | None (both parts) | $162.18 | $239.88 | $338.84 |
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 $208.93 Median $257.04 Typical High $380.19 | Professional | None (both parts) | $208.93 | $257.04 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $190.55 Typical High $288.40 | Professional | 26 · Professional part | $158.49 | $190.55 | $288.40 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $63.10 Typical High $104.71 | Professional | TC · Technical part | $50.12 | $63.10 | $104.71 |
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 $104.71 Median $107.15 Typical High $107.15 | Professional | 52 · Reduced service | $104.71 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $41.69 | $42.66 | $42.66 |
Where South Carolina sits
The same service costs 5.9 times more in Louisiana than in Alabama. 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· 33rd of 51
$316
LA $1,288AL $219
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.