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 $3,467.37 Median $9,120.11 Typical High $22,908.68 | Facility | None | $3,467.37 | $9,120.11 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $2,454.71 Median $3,467.37 Typical High $3,467.37 | Professional | None | $2,454.71 | $3,467.37 | $3,467.37 |
BCBS South Carolina Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,754.23 | Professional | None | $2,238.72 | $2,238.72 | $2,754.23 |
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 $3,090.30 Median $3,388.44 Typical High $5,888.44 | Professional | None | $3,090.30 | $3,388.44 | $5,888.44 |
Medcost Setting Facility Modifier None Typical Low $2,630.27 Median $3,467.37 Typical High $6,760.83 | Facility | None | $2,630.27 | $3,467.37 | $6,760.83 |
Medcost Setting Professional Modifier None Typical Low $2,884.03 Median $3,311.31 Typical High $3,630.78 | Professional | None | $2,884.03 | $3,311.31 | $3,630.78 |
Molina Setting Professional Modifier None Typical Low $2,290.87 Median $3,388.44 Typical High $4,677.35 | Professional | None | $2,290.87 | $3,388.44 | $4,677.35 |
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 $2,454.71 Median $3,715.35 Typical High $6,309.57 | Professional | None | $2,454.71 | $3,715.35 | $6,309.57 |
5 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 $1,230.27 Median $1,737.80 Typical High $1,737.80 | Professional | 52 · Reduced service | $1,230.27 | $1,737.80 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $691.83 Typical High $691.83 | Professional | 53 · Discontinued | $489.78 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,862.09 Median $2,570.40 Typical High $2,570.40 | Professional | 54 · Surgery only | $1,862.09 | $2,570.40 | $2,570.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $371.54 Median $512.86 Typical High $512.86 | Professional | 55 · Aftercare only | $371.54 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $245.47 Median $346.74 Typical High $346.74 | Professional | 56 · Pre-op care only | $245.47 | $346.74 | $346.74 |
Where South Carolina sits
The same service costs 5.8 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· 32nd of 51
$3,090
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.