How much rates vary
Facilitymedian $955 · 10th to 90th $575 to $3,890Professionalmedian $646 · 10th to 90th $98 to $955
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 $812.83 Median $5,888.44 Typical High $21,877.62 | Facility | None | $812.83 | $5,888.44 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $812.83 Typical High $812.83 | Professional | None | $691.83 | $812.83 | $812.83 |
BCBS South Carolina Setting Facility Modifier None Typical Low $676.08 Median $1,174.90 Typical High $3,467.37 | Facility | None | $676.08 | $1,174.90 | $3,467.37 |
BCBS South Carolina Setting Professional Modifier None Typical Low $630.96 Median $660.69 Typical High $870.96 | Professional | None | $630.96 | $660.69 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $831.76 Typical High $1,348.96 | Facility | None | $602.56 | $831.76 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $776.25 Typical High $1,258.93 | Professional | None | $758.58 | $776.25 | $1,258.93 |
Medcost Setting Facility Modifier None Typical Low $363.08 Median $676.08 Typical High $1,230.27 | Facility | None | $363.08 | $676.08 | $1,230.27 |
Medcost Setting Professional Modifier None Typical Low $691.83 Median $831.76 Typical High $977.24 | Professional | None | $691.83 | $831.76 | $977.24 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $501.19 Typical High $870.96 | Professional | None | $79.43 | $501.19 | $870.96 |
United Setting Facility Modifier None Typical Low $302.00 Median $1,122.02 Typical High $6,606.93 | Facility | None | $302.00 | $1,122.02 | $6,606.93 |
United Setting Professional Modifier None Typical Low $575.44 Median $724.44 Typical High $1,174.90 | Professional | None | $575.44 | $724.44 | $1,174.90 |
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 $346.74 Median $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $346.74 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $162.18 Typical High $162.18 | Professional | 53 · Discontinued | $138.04 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $616.60 Typical High $616.60 | Professional | 54 · Surgery only | $524.81 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $123.03 Typical High $123.03 | Professional | 55 · Aftercare only | $104.71 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $81.28 Typical High $81.28 | Professional | 56 · Pre-op care only | $69.18 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $575.44 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $489.78 | $575.44 | $575.44 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,023.29 Median $1,479.11 Typical High $1,905.46 | Professional | 50 · Both sides | $1,023.29 | $1,479.11 | $1,905.46 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $346.74 Median $489.78 Typical High $630.96 | Professional | 51 · Multiple procedures | $346.74 | $489.78 | $630.96 |
Where South Carolina sits
The same service costs 3.6 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 $4,868DE $1,354
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.