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 $2,884.03 Median $9,120.11 Typical High $22,908.68 | Facility | None | $2,884.03 | $9,120.11 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,041.74 | $2,884.03 | $2,884.03 |
BCBS South Carolina Setting Professional Modifier None Typical Low $1,862.09 Median $2,511.89 Typical High $4,073.80 | Professional | None | $1,862.09 | $2,511.89 | $4,073.80 |
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 $2,454.71 Median $2,754.23 Typical High $4,897.79 | Professional | None | $2,454.71 | $2,754.23 | $4,897.79 |
Medcost Setting Facility Modifier None Typical Low $2,238.72 Median $2,884.03 Typical High $5,623.41 | Facility | None | $2,238.72 | $2,884.03 | $5,623.41 |
Medcost Setting Professional Modifier None Typical Low $2,630.27 Median $3,467.37 Typical High $3,548.13 | Professional | None | $2,630.27 | $3,467.37 | $3,548.13 |
Molina Setting Professional Modifier None Typical Low $213.80 Median $2,137.96 Typical High $3,548.13 | Professional | None | $213.80 | $2,137.96 | $3,548.13 |
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 $2,041.74 Median $3,019.95 Typical High $5,128.61 | Professional | None | $2,041.74 | $3,019.95 | $5,128.61 |
2 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 54 · Surgery only Typical Low $1,513.56 Median $2,137.96 Typical High $2,137.96 | Professional | 54 · Surgery only | $1,513.56 | $2,137.96 | $2,137.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $1,995.26 Typical High $1,995.26 | Professional | 78 · Unplanned return to OR | $1,412.54 | $1,995.26 | $1,995.26 |
Where South Carolina sits
The same service costs 5.2 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· 38th of 51
$2,344
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.