How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,585 to $17,378Professionalmedian $1,202 · 10th to 90th $468 to $2,239
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 $10,964.78 Typical High $21,877.62 | Facility | None | $1,230.27 | $10,964.78 | $21,877.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,230.27 Typical High $2,951.21 | Professional | None (both parts) | $1,230.27 | $1,230.27 | $2,951.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $371.54 Typical High $794.33 | Professional | 26 · Professional part | $363.08 | $371.54 | $794.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $1,862.09 | Professional | TC · Technical part | $870.96 | $870.96 | $1,862.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $389.05 Typical High $524.81 | Professional | 26 · Professional part | $389.05 | $389.05 | $524.81 |
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 $912.01 Median $1,122.02 Typical High $3,019.95 | Professional | None (both parts) | $912.01 | $1,122.02 | $3,019.95 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $794.33 Typical High $1,148.15 | Professional | 26 · Professional part | $346.74 | $794.33 | $1,148.15 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $776.25 Typical High $977.24 | Professional | TC · Technical part | $776.25 | $776.25 | $977.24 |
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 $1,584.89 Typical High $2,884.03 | Professional | None (both parts) | $1,318.26 | $1,584.89 | $2,884.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $501.19 Typical High $891.25 | Professional | 26 · Professional part | $426.58 | $501.19 | $891.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,071.52 Typical High $2,041.74 | Professional | TC · Technical part | $891.25 | $1,071.52 | $2,041.74 |
Medcost Setting Facility Modifier None Typical Low $1,230.27 Median $1,380.38 Typical High $3,090.30 | Facility | None | $1,230.27 | $1,380.38 | $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 $426.58 Median $1,122.02 Typical High $2,041.74 | Professional | None (both parts) | $426.58 | $1,122.02 | $2,041.74 |
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 $2,290.87 | Professional | None (both parts) | $1,202.26 | $1,479.11 | $2,290.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $478.63 Typical High $724.44 | Professional | 26 · Professional part | $363.08 | $478.63 | $724.44 |
United Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $1,023.29 Typical High $1,548.82 | Professional | TC · Technical part | $812.83 | $1,023.29 | $1,548.82 |
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 $933.25 Median $933.25 Typical High $933.25 | Professional | 54 · Surgery only | $933.25 | $933.25 | $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· 47th of 51
$1,380
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.