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 $2,089.30 Median $9,120.11 Typical High $22,908.68 | Facility | None | $2,089.30 | $9,120.11 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $2,089.30 Typical High $2,089.30 | Professional | None | $1,479.11 | $2,089.30 | $2,089.30 |
BCBS South Carolina Setting Professional Modifier None Typical Low $1,380.38 Median $1,698.24 Typical High $2,818.38 | Professional | None | $1,380.38 | $1,698.24 | $2,818.38 |
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 $1,659.59 Median $1,905.46 Typical High $3,548.13 | Professional | None | $1,659.59 | $1,905.46 | $3,548.13 |
Medcost Setting Facility Modifier None Typical Low $1,584.89 Median $2,089.30 Typical High $4,168.69 | Facility | None | $1,584.89 | $2,089.30 | $4,168.69 |
Medcost Setting Professional Modifier None Typical Low $1,905.46 Median $2,290.87 Typical High $2,884.03 | Professional | None | $1,905.46 | $2,290.87 | $2,884.03 |
Molina Setting Professional Modifier None Typical Low $125.89 Median $1,412.54 Typical High $2,511.89 | Professional | None | $125.89 | $1,412.54 | $2,511.89 |
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 $1,479.11 Median $2,238.72 Typical High $3,801.89 | Professional | None | $1,479.11 | $2,238.72 | $3,801.89 |
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 $1,122.02 Median $1,548.82 Typical High $1,548.82 | Professional | 54 · Surgery only | $1,122.02 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,445.44 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,445.44 | $1,445.44 |
Where South Carolina sits
The same service costs 5.9 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
$1,514
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.