How much rates vary
Facilitymedian $11,482 · 10th to 90th $2,570 to $25,119Professionalmedian $661 · 10th to 90th $407 to $1,148
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 $660.69 Median $17,378.01 Typical High $74,131.02 | Facility | None | $660.69 | $17,378.01 | $74,131.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $645.65 Median $660.69 Typical High $891.25 | Professional | None (both parts) | $645.65 | $660.69 | $891.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $389.05 Typical High $562.34 | Professional | 26 · Professional part | $380.19 | $389.05 | $562.34 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $371.54 | Professional | TC · Technical part | $275.42 | $275.42 | $371.54 |
BCBS South Carolina Setting Facility Modifier None Typical Low $7,762.47 Median $17,782.79 Typical High $25,118.86 | Facility | None | $7,762.47 | $17,782.79 | $25,118.86 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $10,471.29 Median $10,471.29 Typical High $10,471.29 | Facility | TC · Technical part | $10,471.29 | $10,471.29 | $10,471.29 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $602.56 Median $954.99 Typical High $1,348.96 | Professional | None (both parts) | $602.56 | $954.99 | $1,348.96 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $575.44 Typical High $954.99 | Professional | 26 · Professional part | $363.08 | $575.44 | $954.99 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $338.84 Typical High $501.19 | Professional | TC · Technical part | $234.42 | $338.84 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $4,570.88 Median $5,128.61 Typical High $7,585.78 | Facility | None | $4,570.88 | $5,128.61 | $7,585.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $741.31 Median $851.14 Typical High $1,584.89 | Professional | None (both parts) | $741.31 | $851.14 | $1,584.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $489.78 Typical High $912.01 | Professional | 26 · Professional part | $436.52 | $489.78 | $912.01 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $363.08 Typical High $660.69 | Professional | TC · Technical part | $309.03 | $363.08 | $660.69 |
Medcost Setting Facility Modifier None Typical Low $660.69 Median $741.31 Typical High $1,862.09 | Facility | None | $660.69 | $741.31 | $1,862.09 |
Medcost Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,148.15 Typical High $1,479.11 | Professional | None (both parts) | $741.31 | $1,148.15 | $1,479.11 |
Molina Setting Professional Modifier None (both parts) Typical Low $363.08 Median $524.81 Typical High $707.95 | Professional | None (both parts) | $363.08 | $524.81 | $707.95 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $6,606.93 Typical High $25,703.96 | Facility | None | $1,819.70 | $6,606.93 | $25,703.96 |
United Setting Professional Modifier None (both parts) Typical Low $660.69 Median $851.14 Typical High $1,202.26 | Professional | None (both parts) | $660.69 | $851.14 | $1,202.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $467.74 Typical High $707.95 | Professional | 26 · Professional part | $380.19 | $467.74 | $707.95 |
United Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $363.08 Typical High $575.44 | Professional | TC · Technical part | $288.40 | $363.08 | $575.44 |
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 $323.59 Median $331.13 Typical High $331.13 | Professional | 52 · Reduced service | $323.59 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 53 · Discontinued | $131.83 | $131.83 | $131.83 |
Where South Carolina sits
The same service costs 7.1 times more in Texas 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· 45th of 51
$832
TX $3,981HI $562
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.