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 $1,659.59 Median $10,964.78 Typical High $21,877.62 | Facility | None | $1,659.59 | $10,964.78 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,202.26 | $1,659.59 | $1,659.59 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,905.46 Median $5,495.41 Typical High $16,595.87 | Facility | None | $1,905.46 | $5,495.41 | $16,595.87 |
BCBS South Carolina Setting Professional Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $2,344.23 | Professional | None | $1,096.48 | $1,513.56 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $3,548.13 Typical High $5,754.40 | Facility | None | $602.56 | $3,548.13 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $1,659.59 Typical High $2,884.03 | Professional | None | $1,479.11 | $1,659.59 | $2,884.03 |
Medcost Setting Facility Modifier None Typical Low $1,318.26 Median $1,659.59 Typical High $5,248.07 | Facility | None | $1,318.26 | $1,659.59 | $5,248.07 |
Medcost Setting Professional Modifier None Typical Low $1,548.82 Median $2,041.74 Typical High $2,089.30 | Professional | None | $1,548.82 | $2,041.74 | $2,089.30 |
Molina Setting Professional Modifier None Typical Low $109.65 Median $1,174.90 Typical High $1,995.26 | Professional | None | $109.65 | $1,174.90 | $1,995.26 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $6,606.93 Typical High $23,988.33 | Facility | None | $1,819.70 | $6,606.93 | $23,988.33 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,862.09 Typical High $3,019.95 | Professional | None | $1,202.26 | $1,862.09 | $3,019.95 |
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 $912.01 Median $1,258.93 Typical High $1,258.93 | Professional | 54 · Surgery only | $912.01 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $1,174.90 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $851.14 | $1,174.90 | $1,174.90 |
Where South Carolina sits
The same service costs 5.4 times more in Wisconsin 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
$1,514
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.