How much rates vary
Facilitymedian $871 · 10th to 90th $603 to $3,467Professionalmedian $692 · 10th to 90th $151 to $977
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 $691.83 Median $5,623.41 Typical High $21,877.62 | Facility | None | $691.83 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $758.58 | Professional | None | $691.83 | $691.83 | $758.58 |
BCBS South Carolina Setting Facility Modifier None Typical Low $660.69 Median $870.96 Typical High $1,862.09 | Facility | None | $660.69 | $870.96 | $1,862.09 |
BCBS South Carolina Setting Professional Modifier None Typical Low $588.84 Median $724.44 Typical High $1,071.52 | Professional | None | $588.84 | $724.44 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,230.27 Typical High $1,905.46 | Facility | None | $602.56 | $1,230.27 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $660.69 Typical High $954.99 | Professional | None | $562.34 | $660.69 | $954.99 |
Medcost Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
Medcost Setting Facility Modifier None Typical Low $177.83 Median $691.83 Typical High $1,479.11 | Facility | None | $177.83 | $691.83 | $1,479.11 |
Medcost Setting Professional Modifier None Typical Low $707.95 Median $794.33 Typical High $891.25 | Professional | None | $707.95 | $794.33 | $891.25 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $588.84 Typical High $954.99 | Professional | None | $79.43 | $588.84 | $954.99 |
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 $512.86 Median $660.69 Typical High $1,174.90 | Professional | None | $512.86 | $660.69 | $1,174.90 |
2 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 78 · Unplanned return to OR Typical Low $478.63 Median $478.63 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $478.63 | $478.63 | $537.03 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $354.81 Median $416.87 Typical High $501.19 | Professional | 51 · Multiple procedures | $354.81 | $416.87 | $501.19 |
Where South Carolina sits
The same service costs 4.0 times more in Alaska than in Delaware. 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
AK $5,661DE $1,425
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.