How much rates vary
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 $5,754.40 Median $10,964.78 Typical High $21,877.62 | Facility | None | $5,754.40 | $10,964.78 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $6,309.57 | Professional | None | $5,754.40 | $5,754.40 | $6,309.57 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,621.81 Median $2,290.87 Typical High $22,908.68 | Facility | None | $1,621.81 | $2,290.87 | $22,908.68 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $9,332.54 Typical High $13,182.57 | Facility | None | $602.56 | $9,332.54 | $13,182.57 |
Medcost Setting Facility Modifier None Typical Low $5,754.40 Median $6,918.31 Typical High $14,125.38 | Facility | None | $5,754.40 | $6,918.31 | $14,125.38 |
Medcost Setting Professional Modifier None Typical Low $6,918.31 Median $9,772.37 Typical High $14,454.40 | Professional | None | $6,918.31 | $9,772.37 | $14,454.40 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
United Setting Facility Modifier None Typical Low $3,311.31 Median $11,220.18 Typical High $33,884.42 | Facility | None | $3,311.31 | $11,220.18 | $33,884.42 |
United Setting Professional Modifier None Typical Low $9,772.37 Median $14,791.08 Typical High $24,547.09 | Professional | None | $9,772.37 | $14,791.08 | $24,547.09 |
5 more rates 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 52 · Reduced service Typical Low $2,884.03 Median $2,884.03 Typical High $3,090.30 | Professional | 52 · Reduced service | $2,884.03 | $2,884.03 | $3,090.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,148.15 Median $1,148.15 Typical High $1,230.27 | Professional | 53 · Discontinued | $1,148.15 | $1,148.15 | $1,230.27 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $4,365.16 Median $4,365.16 Typical High $4,677.35 | Professional | 54 · Surgery only | $4,365.16 | $4,365.16 | $4,677.35 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $870.96 Median $870.96 Typical High $933.25 | Professional | 55 · Aftercare only | $870.96 | $870.96 | $933.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $575.44 Median $575.44 Typical High $616.60 | Professional | 56 · Pre-op care only | $575.44 | $575.44 | $616.60 |
Where South Carolina sits
The same service costs 16.6 times more in Indiana than in Nebraska. 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· 43rd of 51
$7,943
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.