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 $4,677.35 Median $9,120.11 Typical High $22,908.68 | Facility | None | $4,677.35 | $9,120.11 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $3,388.44 Median $4,677.35 Typical High $4,677.35 | Professional | None | $3,388.44 | $4,677.35 | $4,677.35 |
BCBS South Carolina Setting Professional Modifier None Typical Low $3,090.30 Median $5,754.40 Typical High $6,760.83 | Professional | None | $3,090.30 | $5,754.40 | $6,760.83 |
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 $4,168.69 Median $4,677.35 Typical High $8,128.31 | Professional | None | $4,168.69 | $4,677.35 | $8,128.31 |
Medcost Setting Facility Modifier None Typical Low $3,548.13 Median $4,677.35 Typical High $9,332.54 | Facility | None | $3,548.13 | $4,677.35 | $9,332.54 |
Medcost Setting Professional Modifier None Typical Low $4,365.16 Median $4,466.84 Typical High $5,623.41 | Professional | None | $4,365.16 | $4,466.84 | $5,623.41 |
Molina Setting Professional Modifier None Typical Low $263.03 Median $3,090.30 Typical High $5,623.41 | Professional | None | $263.03 | $3,090.30 | $5,623.41 |
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 $3,388.44 Median $5,011.87 Typical High $8,511.38 | Professional | None | $3,388.44 | $5,011.87 | $8,511.38 |
4 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 $1,698.24 Median $2,344.23 Typical High $2,344.23 | Professional | 52 · Reduced service | $1,698.24 | $2,344.23 | $2,344.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $676.08 Median $954.99 Typical High $954.99 | Professional | 53 · Discontinued | $676.08 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,511.89 Median $3,548.13 Typical High $3,548.13 | Professional | 54 · Surgery only | $2,511.89 | $3,548.13 | $3,548.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,344.23 Median $3,311.31 Typical High $3,311.31 | Professional | 78 · Unplanned return to OR | $2,344.23 | $3,311.31 | $3,311.31 |
Where South Carolina sits
The same service costs 7.6 times more in Alaska than in Arkansas. 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· 45th of 51
$3,388
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.