How much rates vary
Facilitymedian $12,882 · 10th to 90th $1,862 to $25,704Professionalmedian $372 · 10th to 90th $257 to $525
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 $316.23 Median $36,307.81 Typical High $95,499.26 | Facility | None | $316.23 | $36,307.81 | $95,499.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $295.12 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $251.19 Typical High $251.19 | Professional | 26 · Professional part | $234.42 | $251.19 | $251.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $66.07 Typical High $66.07 | Professional | TC · Technical part | $63.10 | $66.07 | $66.07 |
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 $302.00 Median $371.54 Typical High $616.60 | Professional | None (both parts) | $302.00 | $371.54 | $616.60 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $295.12 Typical High $478.63 | Professional | 26 · Professional part | $223.87 | $295.12 | $478.63 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $77.62 Typical High $138.04 | Professional | TC · Technical part | $74.13 | $77.62 | $138.04 |
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 $346.74 Median $398.11 Typical High $724.44 | Professional | None (both parts) | $346.74 | $398.11 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $309.03 Typical High $575.44 | Professional | 26 · Professional part | $275.42 | $309.03 | $575.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $89.13 Typical High $154.88 | Professional | TC · Technical part | $75.86 | $89.13 | $154.88 |
Medcost Setting Facility Modifier None Typical Low $316.23 Median $346.74 Typical High $912.01 | Facility | None | $316.23 | $346.74 | $912.01 |
Medcost Setting Professional Modifier None (both parts) Typical Low $354.81 Median $457.09 Typical High $575.44 | Professional | None (both parts) | $354.81 | $457.09 | $575.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $229.09 Median $338.84 Typical High $457.09 | Professional | None (both parts) | $229.09 | $338.84 | $457.09 |
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 $309.03 Median $407.38 Typical High $602.56 | Professional | None (both parts) | $309.03 | $407.38 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $316.23 Typical High $457.09 | Professional | 26 · Professional part | $234.42 | $316.23 | $457.09 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $93.33 Typical High $154.88 | Professional | TC · Technical part | $74.13 | $93.33 | $154.88 |
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 $147.91 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $147.91 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $58.88 | $63.10 | $63.10 |
Where South Carolina sits
The same service costs 9.5 times more in Louisiana 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· 45th of 51
$398
LA $3,090NY $324
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.