How much rates vary
Facilitymedian $1,778 · 10th to 90th $676 to $7,079Professionalmedian $955 · 10th to 90th $200 to $1,349
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 $891.25 Median $9,120.11 Typical High $21,877.62 | Facility | None | $891.25 | $9,120.11 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $1,047.13 Typical High $1,258.93 | Professional | None | $870.96 | $1,047.13 | $1,258.93 |
Ambetter Setting Professional Modifier None Typical Low $954.99 Median $1,202.26 Typical High $1,202.26 | Professional | None | $954.99 | $1,202.26 | $1,202.26 |
BCBS South Carolina Setting Facility Modifier None Typical Low $851.14 Median $2,187.76 Typical High $6,606.93 | Facility | None | $851.14 | $2,187.76 | $6,606.93 |
BCBS South Carolina Setting Professional Modifier None Typical Low $676.08 Median $1,148.15 Typical High $1,513.56 | Professional | None | $676.08 | $1,148.15 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,258.93 Typical High $2,041.74 | Facility | None | $602.56 | $1,258.93 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $977.24 Typical High $1,348.96 | Professional | None | $851.14 | $977.24 | $1,348.96 |
Medcost Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
Medcost Setting Facility Modifier None Typical Low $645.65 Median $933.25 Typical High $1,698.24 | Facility | None | $645.65 | $933.25 | $1,698.24 |
Medcost Setting Professional Modifier None Typical Low $1,023.29 Median $1,122.02 Typical High $1,862.09 | Professional | None | $1,023.29 | $1,122.02 | $1,862.09 |
Molina Setting Professional Modifier None Typical Low $117.49 Median $758.58 Typical High $1,202.26 | Professional | None | $117.49 | $758.58 | $1,202.26 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,479.11 Typical High $8,912.51 | Facility | None | $512.86 | $1,479.11 | $8,912.51 |
United Setting Professional Modifier None Typical Low $707.95 Median $912.01 Typical High $1,659.59 | Professional | None | $707.95 | $912.01 | $1,659.59 |
7 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 $446.68 Median $446.68 Typical High $537.03 | Professional | 52 · Reduced service | $446.68 | $446.68 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $213.80 | Professional | 53 · Discontinued | $177.83 | $177.83 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $660.69 Typical High $812.83 | Professional | 54 · Surgery only | $660.69 | $660.69 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $131.83 Typical High $162.18 | Professional | 55 · Aftercare only | $131.83 | $131.83 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $89.13 Typical High $107.15 | Professional | 56 · Pre-op care only | $89.13 | $89.13 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $616.60 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $616.60 | $616.60 | $758.58 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $512.86 Median $691.83 Typical High $933.25 | Professional | 51 · Multiple procedures | $512.86 | $691.83 | $933.25 |
Where South Carolina sits
The same service costs 4.5 times more in Alaska than in Texas. 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· 32nd of 51
$1,023
AK $3,311TX $741
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.