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 $2,951.21 Median $9,120.11 Typical High $22,908.68 | Facility | None | $2,951.21 | $9,120.11 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,137.96 | $2,951.21 | $2,951.21 |
BCBS South Carolina Setting Professional Modifier None Typical Low $1,905.46 Median $2,041.74 Typical High $3,801.89 | Professional | None | $1,905.46 | $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 $2,511.89 Median $2,818.38 Typical High $5,011.87 | Professional | None | $2,511.89 | $2,818.38 | $5,011.87 |
Medcost Setting Facility Modifier None Typical Low $2,344.23 Median $2,951.21 Typical High $5,888.44 | Facility | None | $2,344.23 | $2,951.21 | $5,888.44 |
Medcost Setting Professional Modifier None Typical Low $2,691.53 Median $3,467.37 Typical High $3,715.35 | Professional | None | $2,691.53 | $3,467.37 | $3,715.35 |
Molina Setting Professional Modifier None Typical Low $169.82 Median $1,905.46 Typical High $3,467.37 | Professional | None | $169.82 | $1,905.46 | $3,467.37 |
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 $2,137.96 Median $3,311.31 Typical High $5,370.32 | Professional | None | $2,137.96 | $3,311.31 | $5,370.32 |
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 $1,584.89 Median $2,238.72 Typical High $2,238.72 | Professional | 54 · Surgery only | $1,584.89 | $2,238.72 | $2,238.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $2,089.30 Typical High $2,089.30 | Professional | 78 · Unplanned return to OR | $1,479.11 | $2,089.30 | $2,089.30 |
Where South Carolina sits
The same service costs 6.3 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· 48th of 51
$2,042
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.