How much rates vary
Facilitymedian $1,072 · 10th to 90th $324 to $5,495Professionalmedian $191 · 10th to 90th $68 to $355
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 $89.13 Median $4,365.16 Typical High $16,595.87 | Facility | None | $89.13 | $4,365.16 | $16,595.87 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $204.17 Typical High $323.59 | Professional | None | $81.28 | $204.17 | $323.59 |
BCBS South Carolina Setting Facility Modifier None Typical Low $870.96 Median $1,479.11 Typical High $2,630.27 | Facility | None | $870.96 | $1,479.11 | $2,630.27 |
BCBS South Carolina Setting Professional Modifier None Typical Low $61.66 Median $69.18 Typical High $288.40 | Professional | None | $61.66 | $69.18 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $549.54 Typical High $1,318.26 | Facility | None | $295.12 | $549.54 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $199.53 Typical High $295.12 | Professional | None | $72.44 | $199.53 | $295.12 |
Medcost Setting Professional Modifier None Typical Low $245.47 Median $263.03 Typical High $676.08 | Professional | None | $245.47 | $263.03 | $676.08 |
Medcost Setting Facility Modifier None Typical Low $89.13 Median $323.59 Typical High $724.44 | Facility | None | $89.13 | $323.59 | $724.44 |
Medcost Setting Professional Modifier None Typical Low $81.28 Median $245.47 Typical High $316.23 | Professional | None | $81.28 | $245.47 | $316.23 |
Molina Setting Professional Modifier None Typical Low $275.42 Median $354.81 Typical High $549.54 | Professional | None | $275.42 | $354.81 | $549.54 |
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 $66.07 Median $169.82 Typical High $302.00 | Professional | None | $66.07 | $169.82 | $302.00 |
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 $43.65 Median $79.43 Typical High $162.18 | Professional | 52 · Reduced service | $43.65 | $79.43 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $31.62 Typical High $66.07 | Professional | 53 · Discontinued | $17.38 | $31.62 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $64.57 Median $120.23 Typical High $245.47 | Professional | 54 · Surgery only | $64.57 | $120.23 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $23.99 Typical High $48.98 | Professional | 55 · Aftercare only | $12.88 | $23.99 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $19.50 Typical High $32.36 | Professional | 56 · Pre-op care only | $8.71 | $19.50 | $32.36 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $40.74 Median $123.03 Typical High $199.53 | Professional | 51 · Multiple procedures | $40.74 | $123.03 | $199.53 |
Where South Carolina sits
The same service costs 9.0 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 $4,579MT $507
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.