How much rates vary
Facilitymedian $676 · 10th to 90th $89 to $25,704Professionalmedian $115 · 10th to 90th $69 to $1,318
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 $109.65 Median $18,197.01 Typical High $74,131.02 | Facility | None | $109.65 | $18,197.01 | $74,131.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $169.82 | Professional | None (both parts) | $109.65 | $109.65 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $141.25 | Professional | 26 · Professional part | $83.18 | $83.18 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $26.30 Typical High $39.81 | Professional | TC · Technical part | $26.30 | $26.30 | $39.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 26 · Professional part | $138.04 | $138.04 | $138.04 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,479.11 Median $1,862.09 Typical High $15,135.61 | Facility | None | $1,479.11 | $1,862.09 | $15,135.61 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None (both parts) | $1,318.26 | $1,318.26 | $1,318.26 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $812.83 Typical High $1,659.59 | Professional | 26 · Professional part | $75.86 | $812.83 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $194.98 Typical High $288.40 | Professional | None (both parts) | $162.18 | $194.98 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $131.83 Typical High $204.17 | Professional | 26 · Professional part | $120.23 | $131.83 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $44.67 Typical High $97.72 | Professional | TC · Technical part | $38.90 | $44.67 | $97.72 |
Medcost Setting Facility Modifier None Typical Low $109.65 Median $131.83 Typical High $218.78 | Facility | None | $109.65 | $131.83 | $218.78 |
Medcost Setting Professional Modifier None (both parts) Typical Low $141.25 Median $223.87 Typical High $245.47 | Professional | None (both parts) | $141.25 | $223.87 | $245.47 |
Molina Setting Professional Modifier None (both parts) Typical Low $66.07 Median $93.33 Typical High $125.89 | Professional | None (both parts) | $66.07 | $93.33 | $125.89 |
United Setting Facility Modifier None Typical Low $83.18 Median $426.58 Typical High $11,748.98 | Facility | None | $83.18 | $426.58 | $11,748.98 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $257.04 Typical High $3,162.28 | Professional | None (both parts) | $147.91 | $257.04 | $3,162.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $169.82 Typical High $263.03 | Professional | 26 · Professional part | $107.15 | $169.82 | $263.03 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $64.57 Typical High $2,951.21 | Professional | TC · Technical part | $36.31 | $64.57 | $2,951.21 |
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 $54.95 Median $54.95 Typical High $60.26 | Professional | 52 · Reduced service | $54.95 | $54.95 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $23.99 | Professional | 53 · Discontinued | $21.88 | $21.88 | $23.99 |
Where South Carolina sits
The same service costs 18.6 times more in Tennessee than in South Carolina. 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· 51st of 51
$126
TN $2,344SC $126
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.