How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,549 to $17,783Professionalmedian $1,122 · 10th to 90th $380 to $2,042
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 $1,148.15 Median $12,882.50 Typical High $21,877.62 | Facility | None | $1,148.15 | $12,882.50 | $21,877.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,148.15 Typical High $2,041.74 | Professional | None (both parts) | $1,148.15 | $1,148.15 | $2,041.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $316.23 Typical High $346.74 | Professional | 26 · Professional part | $309.03 | $316.23 | $346.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $831.76 Typical High $977.24 | Professional | TC · Technical part | $831.76 | $831.76 | $977.24 |
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 $1,047.13 Typical High $2,511.89 | Professional | None (both parts) | $794.33 | $1,047.13 | $2,511.89 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $645.65 Typical High $1,000.00 | Professional | 26 · Professional part | $295.12 | $645.65 | $1,000.00 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $741.31 Typical High $912.01 | Professional | TC · Technical part | $741.31 | $741.31 | $912.01 |
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 $1,174.90 Median $1,380.38 Typical High $2,630.27 | Professional | None (both parts) | $1,174.90 | $1,380.38 | $2,630.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $426.58 Typical High $758.58 | Professional | 26 · Professional part | $363.08 | $426.58 | $758.58 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $977.24 Typical High $1,905.46 | Professional | TC · Technical part | $812.83 | $977.24 | $1,905.46 |
Medcost Setting Facility Modifier None Typical Low $1,148.15 Median $1,258.93 Typical High $3,019.95 | Facility | None | $1,148.15 | $1,258.93 | $3,019.95 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,380.38 Typical High $1,819.70 | Professional | None (both parts) | $1,258.93 | $1,380.38 | $1,819.70 |
Molina Setting Professional Modifier None (both parts) Typical Low $346.74 Median $1,023.29 Typical High $1,862.09 | Professional | None (both parts) | $346.74 | $1,023.29 | $1,862.09 |
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 $1,071.52 Median $1,348.96 Typical High $2,041.74 | Professional | None (both parts) | $1,071.52 | $1,348.96 | $2,041.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $407.38 Typical High $616.60 | Professional | 26 · Professional part | $309.03 | $407.38 | $616.60 |
United Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $977.24 Typical High $1,412.54 | Professional | TC · Technical part | $776.25 | $977.24 | $1,412.54 |
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 $851.14 Median $851.14 Typical High $870.96 | Professional | 54 · Surgery only | $851.14 | $851.14 | $870.96 |
Where South Carolina sits
The same service costs 4.0 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· 46th of 51
$1,259
WI $4,467NY $1,122
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.