How much rates vary
Facilitymedian $3,020 · 10th to 90th $1,622 to $17,783Professionalmedian $1,202 · 10th to 90th $380 to $2,188
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 $1,230.27 Median $12,882.50 Typical High $21,877.62 | Facility | None | $1,230.27 | $12,882.50 | $21,877.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,230.27 Typical High $2,187.76 | Professional | None (both parts) | $1,230.27 | $1,230.27 | $2,187.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $346.74 Typical High $407.38 | Professional | 26 · Professional part | $338.84 | $346.74 | $407.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $1,174.90 | Professional | TC · Technical part | $870.96 | $870.96 | $1,174.90 |
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 $1,071.52 Median $1,122.02 Typical High $2,238.72 | Professional | None (both parts) | $1,071.52 | $1,122.02 | $2,238.72 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $870.96 Typical High $1,380.38 | Professional | 26 · Professional part | $331.13 | $870.96 | $1,380.38 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $794.33 Typical High $1,000.00 | Professional | TC · Technical part | $794.33 | $794.33 | $1,000.00 |
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 $1,318.26 Median $1,548.82 Typical High $2,884.03 | Professional | None (both parts) | $1,318.26 | $1,548.82 | $2,884.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $467.74 Typical High $831.76 | Professional | 26 · Professional part | $398.11 | $467.74 | $831.76 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,096.48 Typical High $2,041.74 | Professional | TC · Technical part | $912.01 | $1,096.48 | $2,041.74 |
Medcost Setting Facility Modifier None Typical Low $1,230.27 Median $1,348.96 Typical High $3,090.30 | Facility | None | $1,230.27 | $1,348.96 | $3,090.30 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,513.56 Typical High $2,041.74 | Professional | None (both parts) | $1,412.54 | $1,513.56 | $2,041.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $346.74 Median $1,071.52 Typical High $1,995.26 | Professional | None (both parts) | $346.74 | $1,071.52 | $1,995.26 |
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 $1,202.26 Median $1,479.11 Typical High $2,238.72 | Professional | None (both parts) | $1,202.26 | $1,479.11 | $2,238.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $446.68 Typical High $691.83 | Professional | 26 · Professional part | $346.74 | $446.68 | $691.83 |
United Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,047.13 Typical High $1,584.89 | Professional | TC · Technical part | $831.76 | $1,047.13 | $1,584.89 |
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 $912.01 Median $912.01 Typical High $933.25 | Professional | 54 · Surgery only | $912.01 | $912.01 | $933.25 |
Where South Carolina sits
The same service costs 3.9 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· 48th of 51
$1,349
WI $4,898NY $1,259
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.