How much rates vary
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 $251.19 Median $10,471.29 Typical High $21,877.62 | Facility | None | $251.19 | $10,471.29 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $275.42 Typical High $346.74 | Professional | None | $251.19 | $275.42 | $346.74 |
BCBS South Carolina Setting Facility Modifier None Typical Low $4,786.30 Median $7,762.47 Typical High $13,803.84 | Facility | None | $4,786.30 | $7,762.47 | $13,803.84 |
BCBS South Carolina Setting Professional Modifier None Typical Low $199.53 Median $288.40 Typical High $323.59 | Professional | None | $199.53 | $288.40 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $457.09 Typical High $1,318.26 | Facility | None | $204.17 | $457.09 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $407.38 Typical High $501.19 | Professional | None | $263.03 | $407.38 | $501.19 |
Medcost Setting Facility Modifier None Typical Low $229.09 Median $346.74 Typical High $446.68 | Facility | None | $229.09 | $346.74 | $446.68 |
Medcost Setting Professional Modifier None Typical Low $346.74 Median $436.52 Typical High $524.81 | Professional | None | $346.74 | $436.52 | $524.81 |
Molina Setting Professional Modifier None Typical Low $38.90 Median $229.09 Typical High $371.54 | Professional | None | $38.90 | $229.09 | $371.54 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $3,311.31 Typical High $18,197.01 | Facility | None | $1,023.29 | $3,311.31 | $18,197.01 |
United Setting Professional Modifier None Typical Low $194.98 Median $302.00 Typical High $537.03 | Professional | None | $194.98 | $302.00 | $537.03 |
3 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 78 · Unplanned return to OR Typical Low $177.83 Median $186.21 Typical High $245.47 | Professional | 78 · Unplanned return to OR | $177.83 | $186.21 | $245.47 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $602.56 Median $660.69 Typical High $831.76 | Professional | 50 · Both sides | $602.56 | $660.69 | $831.76 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $199.53 Median $218.78 Typical High $275.42 | Professional | 51 · Multiple procedures | $199.53 | $218.78 | $275.42 |
Where South Carolina sits
The same service costs 5.0 times more in Alaska than in Texas. 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.
South Carolina· 43rd of 51
$282
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.