How much rates vary
Facilitymedian $1,698 · 10th to 90th $646 to $10,000Professionalmedian $437 · 10th to 90th $89 to $661
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 $371.54 Median $5,623.41 Typical High $21,877.62 | Facility | None | $371.54 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $416.87 Typical High $549.54 | Professional | None | $363.08 | $416.87 | $549.54 |
BCBS South Carolina Setting Facility Modifier None Typical Low $691.83 Median $1,698.24 Typical High $8,912.51 | Facility | None | $691.83 | $1,698.24 | $8,912.51 |
BCBS South Carolina Setting Professional Modifier None Typical Low $302.00 Median $446.68 Typical High $537.03 | Professional | None | $302.00 | $446.68 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,819.70 Typical High $2,511.89 | Facility | None | $602.56 | $1,819.70 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $512.86 Typical High $758.58 | Professional | None | $398.11 | $512.86 | $758.58 |
Medcost Setting Facility Modifier None Typical Low $371.54 Median $602.56 Typical High $1,318.26 | Facility | None | $371.54 | $602.56 | $1,318.26 |
Medcost Setting Professional Modifier None Typical Low $489.78 Median $549.54 Typical High $645.65 | Professional | None | $489.78 | $549.54 | $645.65 |
Molina Setting Professional Modifier None Typical Low $38.90 Median $380.19 Typical High $676.08 | Professional | None | $38.90 | $380.19 | $676.08 |
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 $288.40 Median $446.68 Typical High $741.31 | Professional | None | $288.40 | $446.68 | $741.31 |
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 $186.21 Median $208.93 Typical High $275.42 | Professional | 52 · Reduced service | $186.21 | $208.93 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $83.18 Typical High $109.65 | Professional | 53 · Discontinued | $75.86 | $83.18 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $309.03 Typical High $416.87 | Professional | 54 · Surgery only | $281.84 | $309.03 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $63.10 Typical High $83.18 | Professional | 55 · Aftercare only | $56.23 | $63.10 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $41.69 Typical High $54.95 | Professional | 56 · Pre-op care only | $37.15 | $41.69 | $54.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $288.40 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $263.03 | $288.40 | $389.05 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $245.47 Median $309.03 Typical High $426.58 | Professional | 51 · Multiple procedures | $245.47 | $309.03 | $426.58 |
Where South Carolina sits
The same service costs 5.3 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 $6,378MT $1,213
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.