How much rates vary
Facilitymedian $871 · 10th to 90th $347 to $8,511Professionalmedian $324 · 10th to 90th $209 to $562
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 $323.59 Median $9,120.11 Typical High $22,908.68 | Facility | None | $323.59 | $9,120.11 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $323.59 Typical High $323.59 | Professional | None | $229.09 | $323.59 | $323.59 |
BCBS South Carolina Setting Professional Modifier None Typical Low $208.93 Median $478.63 Typical High $724.44 | Professional | None | $208.93 | $478.63 | $724.44 |
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 $288.40 Median $316.23 Typical High $549.54 | Professional | None | $288.40 | $316.23 | $549.54 |
Medcost Setting Facility Modifier None Typical Low $245.47 Median $323.59 Typical High $630.96 | Facility | None | $245.47 | $323.59 | $630.96 |
Medcost Setting Professional Modifier None Typical Low $263.03 Median $323.59 Typical High $338.84 | Professional | None | $263.03 | $323.59 | $338.84 |
Molina Setting Professional Modifier None Typical Low $199.53 Median $295.12 Typical High $407.38 | Professional | None | $199.53 | $295.12 | $407.38 |
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 $229.09 Median $346.74 Typical High $588.84 | Professional | None | $229.09 | $346.74 | $588.84 |
6 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 $114.82 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $114.82 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $64.57 Typical High $64.57 | Professional | 53 · Discontinued | $45.71 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $239.88 Typical High $239.88 | Professional | 54 · Surgery only | $173.78 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $47.86 Typical High $47.86 | Professional | 55 · Aftercare only | $34.67 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $32.36 Typical High $32.36 | Professional | 56 · Pre-op care only | $22.91 | $32.36 | $32.36 |
Ambetter Setting Professional Modifier 58 · Staged procedure Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 58 · Staged procedure | $229.09 | $229.09 | $229.09 |
Where South Carolina sits
The same service costs 7.3 times more in Alaska than in Montana. 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.
Physician feeFacility fee
AK $5,199MT $710
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.