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 $3,235.94 Median $5,623.41 Typical High $21,877.62 | Facility | None | $3,235.94 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,388.44 | Professional | None | $3,235.94 | $3,235.94 | $3,388.44 |
BCBS South Carolina Setting Facility Modifier None Typical Low $660.69 Median $870.96 Typical High $2,187.76 | Facility | None | $660.69 | $870.96 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $870.96 Typical High $1,862.09 | Facility | None | $602.56 | $870.96 | $1,862.09 |
Medcost Setting Facility Modifier None Typical Low $954.99 Median $3,548.13 Typical High $4,168.69 | Facility | None | $954.99 | $3,548.13 | $4,168.69 |
Medcost Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $4,897.79 | Professional | None | $2,884.03 | $2,884.03 | $4,897.79 |
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 $512.86 Median $1,479.11 Typical High $8,511.38 | Facility | None | $512.86 | $1,479.11 | $8,511.38 |
United Setting Professional Modifier None Typical Low $3,235.94 Median $4,168.69 Typical High $7,413.10 | Professional | None | $3,235.94 | $4,168.69 | $7,413.10 |
6 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 $1,621.81 Median $1,621.81 Typical High $1,698.24 | Professional | 52 · Reduced service | $1,621.81 | $1,621.81 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $645.65 Median $645.65 Typical High $676.08 | Professional | 53 · Discontinued | $645.65 | $645.65 | $676.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,454.71 Median $2,454.71 Typical High $2,570.40 | Professional | 54 · Surgery only | $2,454.71 | $2,454.71 | $2,570.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $489.78 Median $489.78 Typical High $512.86 | Professional | 55 · Aftercare only | $489.78 | $489.78 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $323.59 Median $323.59 Typical High $338.84 | Professional | 56 · Pre-op care only | $323.59 | $323.59 | $338.84 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,445.44 Median $1,445.44 Typical High $3,090.30 | Professional | 51 · Multiple procedures | $1,445.44 | $1,445.44 | $3,090.30 |
Where South Carolina sits
The same service costs 3.5 times more in Indiana than in Maryland. 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· 45th of 51
$2,188
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.