How much rates vary
Facilitymedian $3,020 · 10th to 90th $1,622 to $17,783Professionalmedian $891 · 10th to 90th $295 to $1,622
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 $891.25 Median $12,882.50 Typical High $21,877.62 | Facility | None | $891.25 | $12,882.50 | $21,877.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $1,995.26 | Professional | None (both parts) | $891.25 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $234.42 Typical High $302.00 | Professional | 26 · Professional part | $229.09 | $234.42 | $302.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $660.69 Typical High $912.01 | Professional | TC · Technical part | $660.69 | $660.69 | $912.01 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,659.59 Median $2,691.53 Typical High $16,218.10 | Facility | None | $1,659.59 | $2,691.53 | $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 $549.54 Median $812.83 Typical High $1,949.84 | Professional | None (both parts) | $549.54 | $812.83 | $1,949.84 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $446.68 Typical High $691.83 | Professional | 26 · Professional part | $223.87 | $446.68 | $691.83 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $602.56 Typical High $741.31 | Professional | TC · Technical part | $602.56 | $602.56 | $741.31 |
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 $891.25 Median $1,071.52 Typical High $2,089.30 | Professional | None (both parts) | $891.25 | $1,071.52 | $2,089.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $323.59 Typical High $562.34 | Professional | 26 · Professional part | $275.42 | $323.59 | $562.34 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $758.58 Typical High $1,513.56 | Professional | TC · Technical part | $630.96 | $758.58 | $1,513.56 |
Medcost Setting Facility Modifier None Typical Low $870.96 Median $1,000.00 Typical High $2,344.23 | Facility | None | $870.96 | $1,000.00 | $2,344.23 |
Medcost Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,047.13 Typical High $1,412.54 | Professional | None (both parts) | $954.99 | $1,047.13 | $1,412.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $269.15 Median $812.83 Typical High $1,479.11 | Professional | None (both parts) | $269.15 | $812.83 | $1,479.11 |
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 $831.76 Median $1,071.52 Typical High $1,584.89 | Professional | None (both parts) | $831.76 | $1,071.52 | $1,584.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $309.03 Typical High $467.74 | Professional | 26 · Professional part | $229.09 | $309.03 | $467.74 |
United Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $758.58 Typical High $1,071.52 | Professional | TC · Technical part | $602.56 | $758.58 | $1,071.52 |
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 $676.08 Median $676.08 Typical High $676.08 | Professional | 54 · Surgery only | $676.08 | $676.08 | $676.08 |
Where South Carolina sits
The same service costs 4.2 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· 47th of 51
$1,000
WI $3,631NY $871
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.