How much rates vary
Facilitymedian $2,951 · 10th to 90th $1,622 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 $1,122.02 Median $12,302.69 Typical High $21,877.62 | Facility | None | $1,122.02 | $12,302.69 | $21,877.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,122.02 Typical High $2,511.89 | Professional | None (both parts) | $1,122.02 | $1,122.02 | $2,511.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $309.03 Typical High $691.83 | Professional | 26 · Professional part | $302.00 | $309.03 | $691.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $812.83 Typical High $1,737.80 | Professional | TC · Technical part | $812.83 | $812.83 | $1,737.80 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,659.59 Median $2,691.53 Typical High $16,595.87 | Facility | None | $1,659.59 | $2,691.53 | $16,595.87 |
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 $977.24 Median $1,023.29 Typical High $2,041.74 | Professional | None (both parts) | $977.24 | $1,023.29 | $2,041.74 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $776.25 Typical High $1,258.93 | Professional | 26 · Professional part | $295.12 | $776.25 | $1,258.93 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $724.44 Typical High $912.01 | Professional | TC · Technical part | $724.44 | $724.44 | $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 $1,148.15 Median $1,380.38 Typical High $2,630.27 | Professional | None (both parts) | $1,148.15 | $1,380.38 | $2,630.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $426.58 Typical High $741.31 | Professional | 26 · Professional part | $354.81 | $426.58 | $741.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $954.99 Typical High $1,862.09 | Professional | TC · Technical part | $794.33 | $954.99 | $1,862.09 |
Medcost Setting Facility Modifier None Typical Low $1,122.02 Median $1,230.27 Typical High $2,951.21 | Facility | None | $1,122.02 | $1,230.27 | $2,951.21 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,348.96 Typical High $1,819.70 | Professional | None (both parts) | $1,230.27 | $1,348.96 | $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 $1,047.13 Median $1,348.96 Typical High $2,041.74 | Professional | None (both parts) | $1,047.13 | $1,348.96 | $2,041.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $398.11 Typical High $616.60 | Professional | 26 · Professional part | $302.00 | $398.11 | $616.60 |
United Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $977.24 Typical High $1,380.38 | Professional | TC · Technical part | $758.58 | $977.24 | $1,380.38 |
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 $851.14 | Professional | 54 · Surgery only | $851.14 | $851.14 | $851.14 |
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.