How much rates vary
Facilitymedian $3,311 · 10th to 90th $537 to $8,913Professionalmedian $69 · 10th to 90th $43 to $98
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 $47.86 Median $27,542.29 Typical High $95,499.26 | Facility | None | $47.86 | $27,542.29 | $95,499.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $47.86 Typical High $47.86 | Professional | None (both parts) | $45.71 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $37.15 | $38.02 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $9.33 Median $9.55 Typical High $9.55 | Professional | TC · Technical part | $9.33 | $9.55 | $9.55 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,621.81 Median $3,630.78 Typical High $5,128.61 | Facility | None | $1,621.81 | $3,630.78 | $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 $69.18 Median $77.62 Typical High $120.23 | Professional | None (both parts) | $69.18 | $77.62 | $120.23 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $56.23 Typical High $85.11 | Professional | 26 · Professional part | $34.67 | $56.23 | $85.11 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $14.13 Typical High $43.65 | Professional | TC · Technical part | $12.88 | $14.13 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $74.13 Typical High $109.65 | Professional | None (both parts) | $61.66 | $74.13 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $58.88 Typical High $87.10 | Professional | 26 · Professional part | $48.98 | $58.88 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $15.85 Typical High $21.88 | Professional | TC · Technical part | $12.30 | $15.85 | $21.88 |
Medcost Setting Facility Modifier None Typical Low $47.86 Median $57.54 Typical High $97.72 | Facility | None | $47.86 | $57.54 | $97.72 |
Medcost Setting Professional Modifier None (both parts) Typical Low $61.66 Median $97.72 Typical High $100.00 | Professional | None (both parts) | $61.66 | $97.72 | $100.00 |
Molina Setting Professional Modifier None (both parts) Typical Low $35.48 Median $51.29 Typical High $66.07 | Professional | None (both parts) | $35.48 | $51.29 | $66.07 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,479.11 Typical High $11,748.98 | Facility | None | $512.86 | $1,479.11 | $11,748.98 |
United Setting Professional Modifier None (both parts) Typical Low $50.12 Median $69.18 Typical High $104.71 | Professional | None (both parts) | $50.12 | $69.18 | $104.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $56.23 Typical High $79.43 | Professional | 26 · Professional part | $38.02 | $56.23 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $15.14 Typical High $24.55 | Professional | TC · Technical part | $12.02 | $15.14 | $24.55 |
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 $22.91 Median $23.44 Typical High $23.44 | Professional | 52 · Reduced service | $22.91 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.55 Typical High $9.55 | Professional | 53 · Discontinued | $9.12 | $9.55 | $9.55 |
Where South Carolina sits
The same service costs 51.3 times more in Oklahoma than in New York. 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· 31st of 51
$77.62
OK $2,570NY $50.12
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.