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 $3,630.78 Median $9,120.11 Typical High $22,908.68 | Facility | None | $3,630.78 | $9,120.11 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $2,630.27 Median $3,630.78 Typical High $3,630.78 | Professional | None | $2,630.27 | $3,630.78 | $3,630.78 |
BCBS Setting Professional Modifier None Typical Low $2,454.71 Median $4,168.69 Typical High $6,918.31 | Professional | None | $2,454.71 | $4,168.69 | $6,918.31 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $794.33 Typical High $1,905.46 | Facility | None | $100.00 | $794.33 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $2,818.38 Median $3,311.31 Typical High $6,165.95 | Professional | None | $2,818.38 | $3,311.31 | $6,165.95 |
Medcost Setting Facility Modifier None Typical Low $1,995.26 Median $3,630.78 Typical High $7,244.36 | Facility | None | $1,995.26 | $3,630.78 | $7,244.36 |
Medcost Setting Professional Modifier None Typical Low $3,019.95 Median $3,548.13 Typical High $5,495.41 | Professional | None | $3,019.95 | $3,548.13 | $5,495.41 |
Molina Setting Professional Modifier None Typical Low $204.17 Median $2,454.71 Typical High $4,466.84 | Professional | None | $204.17 | $2,454.71 | $4,466.84 |
United Setting Facility Modifier None Typical Low $416.87 Median $1,258.93 Typical High $8,709.64 | Facility | None | $416.87 | $1,258.93 | $8,709.64 |
United Setting Professional Modifier None Typical Low $2,630.27 Median $3,630.78 Typical High $6,606.93 | Professional | None | $2,630.27 | $3,630.78 | $6,606.93 |
6 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 $1,318.26 Median $1,819.70 Typical High $1,819.70 | Professional | 52 · Reduced service | $1,318.26 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $524.81 Median $724.44 Typical High $724.44 | Professional | 53 · Discontinued | $524.81 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,949.84 Median $2,754.23 Typical High $2,754.23 | Professional | 54 · Surgery only | $1,949.84 | $2,754.23 | $2,754.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $398.11 Median $549.54 Typical High $549.54 | Professional | 55 · Aftercare only | $398.11 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $263.03 Median $363.08 Typical High $363.08 | Professional | 56 · Pre-op care only | $263.03 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,819.70 Median $2,570.40 Typical High $2,570.40 | Professional | 78 · Unplanned return to OR | $1,819.70 | $2,570.40 | $2,570.40 |
Where South Carolina sits
The same service costs 6.9 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· 46th of 51
$2,630
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.