How much rates vary
Facilitymedian $871 · 10th to 90th $525 to $3,467Professionalmedian $331 · 10th to 90th $209 to $457
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 $245.47 Median $5,623.41 Typical High $21,877.62 | Facility | None | $245.47 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $269.15 Typical High $371.54 | Professional | None | $239.88 | $269.15 | $371.54 |
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 $190.55 Median $338.84 Typical High $426.58 | Professional | None | $190.55 | $338.84 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $1,230.27 Typical High $1,737.80 | Facility | None | $478.63 | $1,230.27 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $316.23 Typical High $436.52 | Professional | None | $234.42 | $316.23 | $436.52 |
Medcost Setting Facility Modifier None Typical Low $239.88 Median $371.54 Typical High $602.56 | Facility | None | $239.88 | $371.54 | $602.56 |
Medcost Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $977.24 | Professional | None | $389.05 | $389.05 | $977.24 |
Molina Setting Professional Modifier None Typical Low $338.84 Median $436.52 Typical High $616.60 | Professional | None | $338.84 | $436.52 | $616.60 |
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 $190.55 Median $288.40 Typical High $537.03 | Professional | None | $190.55 | $288.40 | $537.03 |
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 $123.03 Median $123.03 Typical High $186.21 | Professional | 52 · Reduced service | $123.03 | $123.03 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $74.13 | Professional | 53 · Discontinued | $48.98 | $48.98 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $181.97 Typical High $281.84 | Professional | 54 · Surgery only | $181.97 | $181.97 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $36.31 Typical High $56.23 | Professional | 55 · Aftercare only | $36.31 | $36.31 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $24.55 Typical High $37.15 | Professional | 56 · Pre-op care only | $24.55 | $24.55 | $37.15 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $194.98 Median $194.98 Typical High $489.78 | Professional | 51 · Multiple procedures | $194.98 | $194.98 | $489.78 |
Where South Carolina sits
The same service costs 6.1 times more in Michigan than in Montana. 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
MI $4,783MT $790
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.