How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,549 to $17,378Professionalmedian $1,096 · 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 $10,964.78 Typical High $21,877.62 | Facility | None | $1,122.02 | $10,964.78 | $21,877.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,122.02 Typical High $2,454.71 | Professional | None (both parts) | $1,122.02 | $1,122.02 | $2,454.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $331.13 Typical High $707.95 | Professional | 26 · Professional part | $323.59 | $331.13 | $707.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $794.33 Typical High $1,659.59 | Professional | TC · Technical part | $776.25 | $794.33 | $1,659.59 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $436.52 Typical High $575.44 | Professional | 26 · Professional part | $346.74 | $436.52 | $575.44 |
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 $758.58 Median $1,023.29 Typical High $2,511.89 | Professional | None (both parts) | $758.58 | $1,023.29 | $2,511.89 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $691.83 Typical High $1,000.00 | Professional | 26 · Professional part | $316.23 | $691.83 | $1,000.00 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $707.95 Typical High $933.25 | Professional | TC · Technical part | $707.95 | $707.95 | $933.25 |
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 $1,230.27 Median $1,479.11 Typical High $2,630.27 | Professional | None (both parts) | $1,230.27 | $1,479.11 | $2,630.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $457.09 Typical High $794.33 | Professional | 26 · Professional part | $380.19 | $457.09 | $794.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $1,023.29 Typical High $1,819.70 | Professional | TC · Technical part | $851.14 | $1,023.29 | $1,819.70 |
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 $1,318.26 Median $1,380.38 Typical High $1,949.84 | Professional | None (both parts) | $1,318.26 | $1,380.38 | $1,949.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $346.74 Median $1,000.00 Typical High $1,819.70 | Professional | None (both parts) | $346.74 | $1,000.00 | $1,819.70 |
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 $1,096.48 Median $1,380.38 Typical High $2,137.96 | Professional | None (both parts) | $1,096.48 | $1,380.38 | $2,137.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $426.58 Typical High $660.69 | Professional | 26 · Professional part | $323.59 | $426.58 | $660.69 |
United Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $954.99 Typical High $1,445.44 | Professional | TC · Technical part | $758.58 | $954.99 | $1,445.44 |
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 $831.76 Median $831.76 Typical High $831.76 | Professional | 54 · Surgery only | $831.76 | $831.76 | $831.76 |
Where South Carolina sits
The same service costs 3.8 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
$1,259
WI $4,467NY $1,175
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.