How much rates vary
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 $1,096.48 Median $10,964.78 Typical High $21,877.62 | Facility | None | $1,096.48 | $10,964.78 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,096.48 Typical High $1,096.48 | Professional | None | $977.24 | $1,096.48 | $1,096.48 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,047.13 Median $2,290.87 Typical High $6,760.83 | Facility | None | $1,047.13 | $2,290.87 | $6,760.83 |
BCBS South Carolina Setting Professional Modifier None Typical Low $870.96 Median $1,000.00 Typical High $1,445.44 | Professional | None | $870.96 | $1,000.00 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $2,137.96 Typical High $2,951.21 | Facility | None | $630.96 | $2,137.96 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $1,000.00 Typical High $1,380.38 | Professional | None | $812.83 | $1,000.00 | $1,380.38 |
Medcost Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,479.11 | $1,479.11 | $1,479.11 |
Medcost Setting Facility Modifier None Typical Low $676.08 Median $912.01 Typical High $2,754.23 | Facility | None | $676.08 | $912.01 | $2,754.23 |
Medcost Setting Professional Modifier None Typical Low $933.25 Median $1,148.15 Typical High $1,148.15 | Professional | None | $933.25 | $1,148.15 | $1,148.15 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $707.95 Typical High $1,122.02 | Professional | None | $79.43 | $707.95 | $1,122.02 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $3,311.31 Typical High $18,197.01 | Facility | None | $1,023.29 | $3,311.31 | $18,197.01 |
United Setting Professional Modifier None Typical Low $758.58 Median $977.24 Typical High $1,698.24 | Professional | None | $758.58 | $977.24 | $1,698.24 |
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 $489.78 Median $549.54 Typical High $549.54 | Professional | 52 · Reduced service | $489.78 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $194.98 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $812.83 Typical High $812.83 | Professional | 54 · Surgery only | $741.31 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $165.96 Typical High $165.96 | Professional | 55 · Aftercare only | $147.91 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $109.65 Typical High $109.65 | Professional | 56 · Pre-op care only | $97.72 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $758.58 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $691.83 | $758.58 | $758.58 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $467.74 Median $575.44 Typical High $724.44 | Professional | 51 · Multiple procedures | $467.74 | $575.44 | $724.44 |
Where South Carolina sits
The same service costs 8.3 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
$1,047
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.