How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,514 to $17,378Professionalmedian $871 · 10th to 90th $126 to $1,445
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 $870.96 Median $4,365.16 Typical High $20,417.38 | Facility | None | $870.96 | $4,365.16 | $20,417.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $1,905.46 | Professional | None (both parts) | $870.96 | $870.96 | $1,905.46 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $131.83 Typical High $288.40 | Professional | 26 · Professional part | $125.89 | $131.83 | $288.40 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $724.44 Typical High $1,479.11 | Professional | TC · Technical part | $724.44 | $724.44 | $1,479.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $134.90 Typical High $177.83 | Professional | 26 · Professional part | $134.90 | $134.90 | $177.83 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,621.81 Median $3,630.78 Typical High $16,218.10 | Facility | None | $1,621.81 | $3,630.78 | $16,218.10 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $8,317.64 Median $8,317.64 Typical High $8,317.64 | Facility | TC · Technical part | $8,317.64 | $8,317.64 | $8,317.64 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $794.33 Median $831.76 Typical High $1,412.54 | Professional | None (both parts) | $794.33 | $831.76 | $1,412.54 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $602.56 Typical High $1,000.00 | Professional | 26 · Professional part | $123.03 | $602.56 | $1,000.00 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $676.08 Typical High $794.33 | Professional | TC · Technical part | $676.08 | $676.08 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $2,137.96 Typical High $12,882.50 | Facility | None | $1,862.09 | $2,137.96 | $12,882.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $954.99 Typical High $1,995.26 | Professional | None (both parts) | $831.76 | $954.99 | $1,995.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $186.21 Typical High $316.23 | Professional | 26 · Professional part | $154.88 | $186.21 | $316.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $776.25 Typical High $1,698.24 | Professional | TC · Technical part | $676.08 | $776.25 | $1,698.24 |
Medcost Setting Facility Modifier None Typical Low $794.33 Median $891.25 Typical High $2,290.87 | Facility | None | $794.33 | $891.25 | $2,290.87 |
Medcost Setting Professional Modifier None (both parts) Typical Low $870.96 Median $977.24 Typical High $1,288.25 | Professional | None (both parts) | $870.96 | $977.24 | $1,288.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $117.49 Median $851.14 Typical High $1,445.44 | Professional | None (both parts) | $117.49 | $851.14 | $1,445.44 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $4,265.80 Typical High $21,379.62 | Facility | None | $1,445.44 | $4,265.80 | $21,379.62 |
United Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,000.00 Typical High $1,412.54 | Professional | None (both parts) | $758.58 | $1,000.00 | $1,412.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $177.83 Typical High $269.15 | Professional | 26 · Professional part | $128.82 | $177.83 | $269.15 |
United Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $812.83 Typical High $1,122.02 | Professional | TC · Technical part | $630.96 | $812.83 | $1,122.02 |
1 more rate 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 54 · Surgery only Typical Low $645.65 Median $645.65 Typical High $660.69 | Professional | 54 · Surgery only | $645.65 | $645.65 | $660.69 |
Where South Carolina sits
The same service costs 4.3 times more in Wisconsin 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· 42nd of 51
$1,023
WI $3,467NY $813
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.