How much rates vary
Facilitymedian $794 · 10th to 90th $380 to $2,239Professionalmedian $457 · 10th to 90th $89 to $692
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 $467.74 Median $4,897.79 Typical High $21,877.62 | Facility | None | $467.74 | $4,897.79 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $467.74 Typical High $524.81 | Professional | None | $416.87 | $467.74 | $524.81 |
BCBS South Carolina Setting Facility Modifier None Typical Low $501.19 Median $851.14 Typical High $2,187.76 | Facility | None | $501.19 | $851.14 | $2,187.76 |
BCBS South Carolina Setting Professional Modifier None Typical Low $380.19 Median $436.52 Typical High $537.03 | Professional | None | $380.19 | $436.52 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $954.99 Typical High $1,445.44 | Facility | None | $457.09 | $954.99 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $478.63 Typical High $741.31 | Professional | None | $436.52 | $478.63 | $741.31 |
Medcost Setting Facility Modifier None Typical Low $281.84 Median $489.78 Typical High $1,148.15 | Facility | None | $281.84 | $489.78 | $1,148.15 |
Medcost Setting Professional Modifier None Typical Low $436.52 Median $524.81 Typical High $645.65 | Professional | None | $436.52 | $524.81 | $645.65 |
Molina Setting Professional Modifier None Typical Low $38.90 Median $416.87 Typical High $724.44 | Professional | None | $38.90 | $416.87 | $724.44 |
United Setting Facility Modifier None Typical Low $83.18 Median $446.68 Typical High $2,344.23 | Facility | None | $83.18 | $446.68 | $2,344.23 |
United Setting Professional Modifier None Typical Low $331.13 Median $436.52 Typical High $691.83 | Professional | None | $331.13 | $436.52 | $691.83 |
8 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 $218.78 Median $234.42 Typical High $257.04 | Professional | 52 · Reduced service | $218.78 | $234.42 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $93.33 Typical High $104.71 | Professional | 53 · Discontinued | $87.10 | $93.33 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $354.81 Typical High $389.05 | Professional | 54 · Surgery only | $331.13 | $354.81 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $70.79 Typical High $77.62 | Professional | 55 · Aftercare only | $66.07 | $70.79 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $46.77 Typical High $52.48 | Professional | 56 · Pre-op care only | $43.65 | $46.77 | $52.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $331.13 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $309.03 | $331.13 | $363.08 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $660.69 Median $954.99 Typical High $1,202.26 | Professional | 50 · Both sides | $660.69 | $954.99 | $1,202.26 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $218.78 Median $323.59 Typical High $398.11 | Professional | 51 · Multiple procedures | $218.78 | $323.59 | $398.11 |
Where South Carolina sits
The same service costs 4.9 times more in Colorado 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
CO $4,364DE $899
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.