How much rates vary
Facilitymedian $1,778 · 10th to 90th $759 to $8,710Professionalmedian $724 · 10th to 90th $200 to $1,096
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 $724.44 Median $9,120.11 Typical High $21,877.62 | Facility | None | $724.44 | $9,120.11 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $758.58 Typical High $912.01 | Professional | None | $691.83 | $758.58 | $912.01 |
BCBS South Carolina Setting Facility Modifier None Typical Low $851.14 Median $1,949.84 Typical High $6,606.93 | Facility | None | $851.14 | $1,949.84 | $6,606.93 |
BCBS South Carolina Setting Professional Modifier None Typical Low $575.44 Median $616.60 Typical High $933.25 | Professional | None | $575.44 | $616.60 | $933.25 |
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 $562.34 Median $707.95 Typical High $1,096.48 | Professional | None | $562.34 | $707.95 | $1,096.48 |
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 $616.60 Median $758.58 Typical High $1,698.24 | Facility | None | $616.60 | $758.58 | $1,698.24 |
Medcost Setting Professional Modifier None Typical Low $741.31 Median $954.99 Typical High $1,513.56 | Professional | None | $741.31 | $954.99 | $1,513.56 |
Molina Setting Professional Modifier None Typical Low $117.49 Median $660.69 Typical High $1,096.48 | Professional | None | $117.49 | $660.69 | $1,096.48 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,511.89 Typical High $14,791.08 | Facility | None | $851.14 | $2,511.89 | $14,791.08 |
United Setting Professional Modifier None Typical Low $562.34 Median $741.31 Typical High $1,288.25 | Professional | None | $562.34 | $741.31 | $1,288.25 |
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 $363.08 Median $363.08 Typical High $457.09 | Professional | 52 · Reduced service | $363.08 | $363.08 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $181.97 | Professional | 53 · Discontinued | $144.54 | $144.54 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $549.54 Typical High $676.08 | Professional | 54 · Surgery only | $549.54 | $549.54 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $109.65 Typical High $134.90 | Professional | 55 · Aftercare only | $109.65 | $109.65 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $72.44 Typical High $91.20 | Professional | 56 · Pre-op care only | $72.44 | $72.44 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $512.86 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $512.86 | $512.86 | $630.96 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $371.54 Median $478.63 Typical High $758.58 | Professional | 51 · Multiple procedures | $371.54 | $478.63 | $758.58 |
Where South Carolina sits
The same service costs 3.1 times more in Alaska 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
AK $5,990MD $1,938
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.