How much rates vary
Facilitymedian $302 · 10th to 90th $100 to $1,175Professionalmedian $309 · 10th to 90th $89 to $479
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 $323.59 Median $407.38 Typical High $21,877.62 | Facility | None | $323.59 | $407.38 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $323.59 Typical High $371.54 | Professional | None | $281.84 | $323.59 | $371.54 |
BCBS South Carolina Setting Facility Modifier None Typical Low $229.09 Median $398.11 Typical High $724.44 | Facility | None | $229.09 | $398.11 | $724.44 |
BCBS South Carolina Setting Professional Modifier None Typical Low $213.80 Median $281.84 Typical High $354.81 | Professional | None | $213.80 | $281.84 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $151.36 Typical High $245.47 | Facility | None | $75.86 | $151.36 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $346.74 Typical High $524.81 | Professional | None | $295.12 | $346.74 | $524.81 |
Medcost Setting Facility Modifier None Typical Low $95.50 Median $223.87 Typical High $436.52 | Facility | None | $95.50 | $223.87 | $436.52 |
Medcost Setting Professional Modifier None Typical Low $316.23 Median $371.54 Typical High $457.09 | Professional | None | $316.23 | $371.54 | $457.09 |
Molina Setting Professional Modifier None Typical Low $38.90 Median $269.15 Typical High $512.86 | Professional | None | $38.90 | $269.15 | $512.86 |
United Setting Facility Modifier None Typical Low $83.18 Median $446.68 Typical High $2,238.72 | Facility | None | $83.18 | $446.68 | $2,238.72 |
United Setting Professional Modifier None Typical Low $229.09 Median $309.03 Typical High $501.19 | Professional | None | $229.09 | $309.03 | $501.19 |
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 $158.49 Median $162.18 Typical High $186.21 | Professional | 52 · Reduced service | $158.49 | $162.18 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $64.57 Typical High $74.13 | Professional | 53 · Discontinued | $63.10 | $64.57 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $239.88 Typical High $281.84 | Professional | 54 · Surgery only | $234.42 | $239.88 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $47.86 Typical High $56.23 | Professional | 55 · Aftercare only | $46.77 | $47.86 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $32.36 Typical High $37.15 | Professional | 56 · Pre-op care only | $31.62 | $32.36 | $37.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $223.87 Typical High $263.03 | Professional | 78 · Unplanned return to OR | $218.78 | $223.87 | $263.03 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $158.49 Median $229.09 Typical High $288.40 | Professional | 51 · Multiple procedures | $158.49 | $229.09 | $288.40 |
Where South Carolina sits
The same service costs 6.7 times more in New York than in Florida. 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
NY $2,828FL $419
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.