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 $2,344.23 Median $9,120.11 Typical High $22,908.68 | Facility | None | $2,344.23 | $9,120.11 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $2,344.23 Typical High $2,344.23 | Professional | None | $1,659.59 | $2,344.23 | $2,344.23 |
BCBS South Carolina Setting Professional Modifier None Typical Low $1,548.82 Median $1,995.26 Typical High $3,162.28 | Professional | None | $1,548.82 | $1,995.26 | $3,162.28 |
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 $2,041.74 Median $2,290.87 Typical High $3,981.07 | Professional | None | $2,041.74 | $2,290.87 | $3,981.07 |
Medcost Setting Facility Modifier None Typical Low $1,778.28 Median $2,344.23 Typical High $4,570.88 | Facility | None | $1,778.28 | $2,344.23 | $4,570.88 |
Medcost Setting Professional Modifier None Typical Low $2,137.96 Median $2,818.38 Typical High $2,884.03 | Professional | None | $2,137.96 | $2,818.38 | $2,884.03 |
Molina Setting Professional Modifier None Typical Low $165.96 Median $1,548.82 Typical High $2,818.38 | Professional | None | $165.96 | $1,548.82 | $2,818.38 |
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 $1,659.59 Median $2,511.89 Typical High $4,168.69 | Professional | None | $1,659.59 | $2,511.89 | $4,168.69 |
1 more rate 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 $1,174.90 Median $1,621.81 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $1,174.90 | $1,621.81 | $1,621.81 |
Where South Carolina sits
The same service costs 5.6 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· 47th of 51
$1,698
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.