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 $3,311.31 Median $9,120.11 Typical High $22,908.68 | Facility | None | $3,311.31 | $9,120.11 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $3,311.31 Typical High $3,311.31 | Professional | None | $2,344.23 | $3,311.31 | $3,311.31 |
BCBS South Carolina Setting Professional Modifier None Typical Low $2,137.96 Median $2,754.23 Typical High $4,466.84 | Professional | None | $2,137.96 | $2,754.23 | $4,466.84 |
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 $2,691.53 Median $3,090.30 Typical High $5,623.41 | Professional | None | $2,691.53 | $3,090.30 | $5,623.41 |
Medcost Setting Facility Modifier None Typical Low $2,511.89 Median $3,311.31 Typical High $6,456.54 | Facility | None | $2,511.89 | $3,311.31 | $6,456.54 |
Medcost Setting Professional Modifier None Typical Low $3,019.95 Median $3,890.45 Typical High $3,981.07 | Professional | None | $3,019.95 | $3,890.45 | $3,981.07 |
Molina Setting Professional Modifier None Typical Low $204.17 Median $2,137.96 Typical High $3,890.45 | Professional | None | $204.17 | $2,137.96 | $3,890.45 |
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 $2,344.23 Median $3,388.44 Typical High $5,888.44 | Professional | None | $2,344.23 | $3,388.44 | $5,888.44 |
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 $1,621.81 Median $2,290.87 Typical High $2,290.87 | Professional | 78 · Unplanned return to OR | $1,621.81 | $2,290.87 | $2,290.87 |
Where South Carolina sits
The same service costs 5.8 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
$2,344
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.