How much rates vary
Facilitymedian $282 · 10th to 90th $87 to $1,585Professionalmedian $191 · 10th to 90th $93 to $288
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 $102.33 Median $316.23 Typical High $16,595.87 | Facility | None | $102.33 | $316.23 | $16,595.87 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $165.96 Typical High $186.21 | Professional | None | $102.33 | $165.96 | $186.21 |
Ambetter Setting Professional Modifier None Typical Low $85.11 Median $162.18 Typical High $162.18 | Professional | None | $85.11 | $162.18 | $162.18 |
BCBS South Carolina Setting Facility Modifier None Typical Low $190.55 Median $338.84 Typical High $602.56 | Facility | None | $190.55 | $338.84 | $602.56 |
BCBS South Carolina Setting Professional Modifier None Typical Low $87.10 Median $190.55 Typical High $275.42 | Professional | None | $87.10 | $190.55 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $125.89 Typical High $199.53 | Facility | None | $75.86 | $125.89 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $190.55 Typical High $263.03 | Professional | None | $112.20 | $190.55 | $263.03 |
Medcost Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
Medcost Setting Facility Modifier None Typical Low $61.66 Median $102.33 Typical High $229.09 | Facility | None | $61.66 | $102.33 | $229.09 |
Medcost Setting Professional Modifier None Typical Low $169.82 Median $263.03 Typical High $309.03 | Professional | None | $169.82 | $263.03 | $309.03 |
Molina Setting Professional Modifier None Typical Low $190.55 Median $234.42 Typical High $338.84 | Professional | None | $190.55 | $234.42 | $338.84 |
United Setting Facility Modifier None Typical Low $83.18 Median $446.68 Typical High $2,238.72 | Facility | None | $83.18 | $446.68 | $2,238.72 |
United Setting Professional Modifier None Typical Low $85.11 Median $151.36 Typical High $302.00 | Professional | None | $85.11 | $151.36 | $302.00 |
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 $51.29 Median $51.29 Typical High $93.33 | Professional | 52 · Reduced service | $51.29 | $51.29 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $37.15 | Professional | 53 · Discontinued | $20.42 | $20.42 | $37.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $77.62 Median $77.62 Typical High $141.25 | Professional | 54 · Surgery only | $77.62 | $77.62 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $15.49 Typical High $28.18 | Professional | 55 · Aftercare only | $15.49 | $15.49 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $10.23 Typical High $18.62 | Professional | 56 · Pre-op care only | $10.23 | $10.23 | $18.62 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $85.11 Median $131.83 Typical High $151.36 | Professional | 51 · Multiple procedures | $85.11 | $131.83 | $151.36 |
Where South Carolina sits
The same service costs 11.6 times more in Hawaii 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.
Physician feeFacility fee
HI $3,027MD $261
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.