How much rates vary
Facilitymedian $1,585 · 10th to 90th $676 to $5,495Professionalmedian $708 · 10th to 90th $102 to $1,023
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 $831.76 Median $5,623.41 Typical High $21,877.62 | Facility | None | $831.76 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $831.76 Typical High $831.76 | Professional | None | $724.44 | $831.76 | $831.76 |
BCBS South Carolina Setting Facility Modifier None Typical Low $812.83 Median $1,778.28 Typical High $3,388.44 | Facility | None | $812.83 | $1,778.28 | $3,388.44 |
BCBS South Carolina Setting Professional Modifier None Typical Low $660.69 Median $977.24 Typical High $1,230.27 | Professional | None | $660.69 | $977.24 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,000.00 Typical High $1,698.24 | Facility | None | $602.56 | $1,000.00 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $891.25 Typical High $1,318.26 | Professional | None | $851.14 | $891.25 | $1,318.26 |
Medcost Setting Facility Modifier None Typical Low $660.69 Median $851.14 Typical High $1,995.26 | Facility | None | $660.69 | $851.14 | $1,995.26 |
Medcost Setting Professional Modifier None Typical Low $831.76 Median $933.25 Typical High $1,071.52 | Professional | None | $831.76 | $933.25 | $1,071.52 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $549.54 Typical High $933.25 | Professional | None | $79.43 | $549.54 | $933.25 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,479.11 Typical High $8,511.38 | Facility | None | $512.86 | $1,479.11 | $8,511.38 |
United Setting Professional Modifier None Typical Low $616.60 Median $776.25 Typical High $1,258.93 | Professional | None | $616.60 | $776.25 | $1,258.93 |
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 $363.08 Median $416.87 Typical High $416.87 | Professional | 52 · Reduced service | $363.08 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $165.96 Typical High $165.96 | Professional | 53 · Discontinued | $144.54 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $630.96 Typical High $630.96 | Professional | 54 · Surgery only | $549.54 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $125.89 Typical High $125.89 | Professional | 55 · Aftercare only | $109.65 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $83.18 Typical High $83.18 | Professional | 56 · Pre-op care only | $72.44 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $588.84 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $512.86 | $588.84 | $588.84 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,348.96 Median $1,548.82 Typical High $1,949.84 | Professional | 50 · Both sides | $1,348.96 | $1,548.82 | $1,949.84 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $457.09 Median $524.81 Typical High $645.65 | Professional | 51 · Multiple procedures | $457.09 | $524.81 | $645.65 |
Where South Carolina sits
The same service costs 4.3 times more in Alaska than in Alabama. 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
AK $6,582AL $1,537
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.