How much rates vary
Facilitymedian $794 · 10th to 90th $479 to $4,169Professionalmedian $282 · 10th to 90th $126 to $501
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 $151.36 Median $4,897.79 Typical High $21,877.62 | Facility | None | $151.36 | $4,897.79 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $194.98 Typical High $446.68 | Professional | None | $144.54 | $194.98 | $446.68 |
BCBS South Carolina Setting Facility Modifier None Typical Low $512.86 Median $794.33 Typical High $3,388.44 | Facility | None | $512.86 | $794.33 | $3,388.44 |
BCBS South Carolina Setting Professional Modifier None Typical Low $112.20 Median $281.84 Typical High $389.05 | Professional | None | $112.20 | $281.84 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $977.24 Typical High $1,479.11 | Facility | None | $457.09 | $977.24 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $169.82 Typical High $501.19 | Professional | None | $151.36 | $169.82 | $501.19 |
Medcost Setting Professional Modifier None Typical Low $186.21 Median $199.53 Typical High $933.25 | Professional | None | $186.21 | $199.53 | $933.25 |
Medcost Setting Facility Modifier None Typical Low $151.36 Median $478.63 Typical High $1,023.29 | Facility | None | $151.36 | $478.63 | $1,023.29 |
Medcost Setting Professional Modifier None Typical Low $177.83 Median $331.13 Typical High $436.52 | Professional | None | $177.83 | $331.13 | $436.52 |
Molina Setting Professional Modifier None Typical Low $363.08 Median $478.63 Typical High $724.44 | Professional | None | $363.08 | $478.63 | $724.44 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,479.11 Typical High $8,912.51 | Facility | None | $512.86 | $1,479.11 | $8,912.51 |
United Setting Professional Modifier None Typical Low $120.23 Median $208.93 Typical High $407.38 | Professional | None | $120.23 | $208.93 | $407.38 |
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 $74.13 Median $107.15 Typical High $223.87 | Professional | 52 · Reduced service | $74.13 | $107.15 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $52.48 Typical High $91.20 | Professional | 53 · Discontinued | $30.20 | $52.48 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $162.18 Typical High $338.84 | Professional | 54 · Surgery only | $112.20 | $162.18 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $32.36 Typical High $67.61 | Professional | 55 · Aftercare only | $22.39 | $32.36 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $21.38 Typical High $44.67 | Professional | 56 · Pre-op care only | $14.79 | $21.38 | $44.67 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $89.13 Median $165.96 Typical High $275.42 | Professional | 51 · Multiple procedures | $89.13 | $165.96 | $275.42 |
Where South Carolina sits
The same service costs 5.7 times more in Colorado 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
CO $4,090MT $722
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.