How much rates vary
Facilitymedian $1,778 · 10th to 90th $813 to $10,715Professionalmedian $490 · 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 $537.03 Median $10,000.00 Typical High $21,877.62 | Facility | None | $537.03 | $10,000.00 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $537.03 Typical High $630.96 | Professional | None | $457.09 | $537.03 | $630.96 |
Ambetter Setting Professional Modifier None Typical Low $478.63 Median $602.56 Typical High $776.25 | Professional | None | $478.63 | $602.56 | $776.25 |
BCBS South Carolina Setting Facility Modifier None Typical Low $851.14 Median $2,137.96 Typical High $9,549.93 | Facility | None | $851.14 | $2,137.96 | $9,549.93 |
BCBS South Carolina Setting Professional Modifier None Typical Low $398.11 Median $489.78 Typical High $588.84 | Professional | None | $398.11 | $489.78 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,548.82 Typical High $3,090.30 | Facility | None | $602.56 | $1,548.82 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $602.56 Typical High $851.14 | Professional | None | $562.34 | $602.56 | $851.14 |
Medcost Setting Facility Modifier None Typical Low $524.81 Median $1,288.25 Typical High $1,584.89 | Facility | None | $524.81 | $1,288.25 | $1,584.89 |
Medcost Setting Professional Modifier None Typical Low $537.03 Median $575.44 Typical High $630.96 | Professional | None | $537.03 | $575.44 | $630.96 |
Molina Setting Professional Modifier None Typical Low $72.44 Median $398.11 Typical High $660.69 | Professional | None | $72.44 | $398.11 | $660.69 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,511.89 Typical High $14,791.08 | Facility | None | $851.14 | $2,511.89 | $14,791.08 |
United Setting Professional Modifier None Typical Low $380.19 Median $489.78 Typical High $794.33 | Professional | None | $380.19 | $489.78 | $794.33 |
4 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 54 · Surgery only Typical Low $346.74 Median $398.11 Typical High $398.11 | Professional | 54 · Surgery only | $346.74 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $371.54 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $323.59 | $371.54 | $371.54 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $870.96 Median $891.25 Typical High $1,258.93 | Professional | 50 · Both sides | $870.96 | $891.25 | $1,258.93 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $288.40 Median $295.12 Typical High $416.87 | Professional | 51 · Multiple procedures | $288.40 | $295.12 | $416.87 |
Where South Carolina sits
The same service costs 4.4 times more in Colorado 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
CO $6,812MT $1,536
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.