How much rates vary
Facilitymedian $1,023 · 10th to 90th $617 to $7,762Professionalmedian $741 · 10th to 90th $105 to $1,096
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 $870.96 Median $5,888.44 Typical High $21,877.62 | Facility | None | $870.96 | $5,888.44 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $870.96 Typical High $870.96 | Professional | None | $741.31 | $870.96 | $870.96 |
BCBS South Carolina Setting Facility Modifier None Typical Low $676.08 Median $1,202.26 Typical High $7,762.47 | Facility | None | $676.08 | $1,202.26 | $7,762.47 |
BCBS South Carolina Setting Professional Modifier None Typical Low $724.44 Median $912.01 Typical High $1,230.27 | Professional | None | $724.44 | $912.01 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $977.24 Typical High $1,584.89 | Facility | None | $602.56 | $977.24 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $912.01 Typical High $1,348.96 | Professional | None | $891.25 | $912.01 | $1,348.96 |
Medcost Setting Facility Modifier None Typical Low $512.86 Median $691.83 Typical High $1,479.11 | Facility | None | $512.86 | $691.83 | $1,479.11 |
Medcost Setting Professional Modifier None Typical Low $870.96 Median $1,071.52 Typical High $1,288.25 | Professional | None | $870.96 | $1,071.52 | $1,288.25 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $602.56 Typical High $1,023.29 | Professional | None | $79.43 | $602.56 | $1,023.29 |
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 $794.33 Typical High $1,288.25 | Professional | None | $616.60 | $794.33 | $1,288.25 |
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 $371.54 Median $436.52 Typical High $436.52 | Professional | 52 · Reduced service | $371.54 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $173.78 Typical High $173.78 | Professional | 53 · Discontinued | $147.91 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $645.65 Typical High $645.65 | Professional | 54 · Surgery only | $562.34 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $128.82 Typical High $128.82 | Professional | 55 · Aftercare only | $112.20 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $87.10 Typical High $87.10 | Professional | 56 · Pre-op care only | $74.13 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $602.56 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $524.81 | $602.56 | $602.56 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,412.54 Median $1,659.59 Typical High $2,041.74 | Professional | 50 · Both sides | $1,412.54 | $1,659.59 | $2,041.74 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $467.74 Median $549.54 Typical High $676.08 | Professional | 51 · Multiple procedures | $467.74 | $549.54 | $676.08 |
Where South Carolina sits
The same service costs 3.6 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 $5,545AL $1,558
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.