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 $3,162.28 Median $9,120.11 Typical High $22,908.68 | Facility | None | $3,162.28 | $9,120.11 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $2,290.87 Median $3,162.28 Typical High $3,162.28 | Professional | None | $2,290.87 | $3,162.28 | $3,162.28 |
BCBS South Carolina Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $3,801.89 | Professional | None | $2,041.74 | $2,041.74 | $3,801.89 |
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 $3,019.95 Typical High $5,370.32 | Professional | None | $2,691.53 | $3,019.95 | $5,370.32 |
Medcost Setting Facility Modifier None Typical Low $2,511.89 Median $3,162.28 Typical High $6,309.57 | Facility | None | $2,511.89 | $3,162.28 | $6,309.57 |
Medcost Setting Professional Modifier None Typical Low $2,884.03 Median $3,715.35 Typical High $3,981.07 | Professional | None | $2,884.03 | $3,715.35 | $3,981.07 |
Molina Setting Professional Modifier None Typical Low $186.21 Median $2,041.74 Typical High $3,715.35 | Professional | None | $186.21 | $2,041.74 | $3,715.35 |
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 $2,290.87 Median $3,548.13 Typical High $5,754.40 | Professional | None | $2,290.87 | $3,548.13 | $5,754.40 |
2 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 54 · Surgery only Typical Low $1,698.24 Median $2,398.83 Typical High $2,398.83 | Professional | 54 · Surgery only | $1,698.24 | $2,398.83 | $2,398.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,584.89 Median $2,238.72 Typical High $2,238.72 | Professional | 78 · Unplanned return to OR | $1,584.89 | $2,238.72 | $2,238.72 |
Where South Carolina sits
The same service costs 6.5 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
$2,188
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.