How much rates vary
Facilitymedian $1,259 · 10th to 90th $631 to $6,761Professionalmedian $912 · 10th to 90th $200 to $1,318
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 $912.01 Median $5,623.41 Typical High $21,877.62 | Facility | None | $912.01 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $977.24 Typical High $1,258.93 | Professional | None | $870.96 | $977.24 | $1,258.93 |
Ambetter Setting Professional Modifier None Typical Low $691.83 Median $954.99 Typical High $1,778.28 | Professional | None | $691.83 | $954.99 | $1,778.28 |
BCBS South Carolina Setting Facility Modifier None Typical Low $676.08 Median $1,348.96 Typical High $6,606.93 | Facility | None | $676.08 | $1,348.96 | $6,606.93 |
BCBS South Carolina Setting Professional Modifier None Typical Low $691.83 Median $912.01 Typical High $1,174.90 | Professional | None | $691.83 | $912.01 | $1,174.90 |
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 $741.31 Median $912.01 Typical High $1,348.96 | Professional | None | $741.31 | $912.01 | $1,348.96 |
Medcost Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Medcost Setting Facility Modifier None Typical Low $588.84 Median $851.14 Typical High $1,479.11 | Facility | None | $588.84 | $851.14 | $1,479.11 |
Medcost Setting Professional Modifier None Typical Low $851.14 Median $1,148.15 Typical High $1,621.81 | Professional | None | $851.14 | $1,148.15 | $1,621.81 |
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 $724.44 Median $912.01 Typical High $1,584.89 | Professional | None | $724.44 | $912.01 | $1,584.89 |
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 $457.09 Median $457.09 Typical High $537.03 | Professional | 52 · Reduced service | $457.09 | $457.09 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $213.80 | Professional | 53 · Discontinued | $181.97 | $181.97 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $691.83 Typical High $812.83 | Professional | 54 · Surgery only | $691.83 | $691.83 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $138.04 Typical High $162.18 | Professional | 55 · Aftercare only | $138.04 | $138.04 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $107.15 | Professional | 56 · Pre-op care only | $91.20 | $91.20 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $645.65 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $645.65 | $645.65 | $758.58 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $426.58 Median $602.56 Typical High $812.83 | Professional | 51 · Multiple procedures | $426.58 | $602.56 | $812.83 |
Where South Carolina sits
The same service costs 4.4 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· 41st of 51
$912
AK $3,311TX $759
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.