How much rates vary
Facilitymedian $871 · 10th to 90th $589 to $4,467Professionalmedian $302 · 10th to 90th $214 to $437
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 $295.12 Median $5,888.44 Typical High $21,877.62 | Facility | None | $295.12 | $5,888.44 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $295.12 Typical High $338.84 | Professional | None | $245.47 | $295.12 | $338.84 |
BCBS South Carolina Setting Facility Modifier None Typical Low $645.65 Median $851.14 Typical High $1,380.38 | Facility | None | $645.65 | $851.14 | $1,380.38 |
BCBS South Carolina Setting Professional Modifier None Typical Low $213.80 Median $323.59 Typical High $346.74 | Professional | None | $213.80 | $323.59 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $812.83 Typical High $1,621.81 | Facility | None | $602.56 | $812.83 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $309.03 Typical High $602.56 | Professional | None | $288.40 | $309.03 | $602.56 |
Medcost Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
Medcost Setting Facility Modifier None Typical Low $295.12 Median $676.08 Typical High $724.44 | Facility | None | $295.12 | $676.08 | $724.44 |
Medcost Setting Professional Modifier None Typical Low $288.40 Median $363.08 Typical High $363.08 | Professional | None | $288.40 | $363.08 | $363.08 |
Molina Setting Professional Modifier None Typical Low $218.78 Median $288.40 Typical High $446.68 | Professional | None | $218.78 | $288.40 | $446.68 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,479.11 Typical High $8,511.38 | Facility | None | $512.86 | $1,479.11 | $8,511.38 |
United Setting Professional Modifier None Typical Low $218.78 Median $263.03 Typical High $512.86 | Professional | None | $218.78 | $263.03 | $512.86 |
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 $123.03 Median $147.91 Typical High $147.91 | Professional | 52 · Reduced service | $123.03 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $48.98 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $223.87 Typical High $223.87 | Professional | 54 · Surgery only | $186.21 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $44.67 Typical High $44.67 | Professional | 55 · Aftercare only | $37.15 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $29.51 Typical High $29.51 | Professional | 56 · Pre-op care only | $24.55 | $29.51 | $29.51 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $177.83 Median $181.97 Typical High $181.97 | Professional | 51 · Multiple procedures | $177.83 | $181.97 | $181.97 |
Where South Carolina sits
The same service costs 5.6 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 $4,320MT $769
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.