How much rates vary
Facilitymedian $794 · 10th to 90th $437 to $3,162Professionalmedian $955 · 10th to 90th $107 to $1,549
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 $141.25 Median $5,623.41 Typical High $21,877.62 | Facility | None | $141.25 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $549.54 Typical High $1,479.11 | Professional | None | $131.83 | $549.54 | $1,479.11 |
Ambetter Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None | $112.20 | $112.20 | $112.20 |
BCBS South Carolina Setting Facility Modifier None Typical Low $489.78 Median $794.33 Typical High $1,445.44 | Facility | None | $489.78 | $794.33 | $1,445.44 |
BCBS South Carolina Setting Professional Modifier None Typical Low $102.33 Median $234.42 Typical High $1,122.02 | Professional | None | $102.33 | $234.42 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $933.25 Typical High $2,089.30 | Facility | None | $602.56 | $933.25 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $389.05 Typical High $1,348.96 | Professional | None | $144.54 | $389.05 | $1,348.96 |
Medcost Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | None | $3,090.30 | $3,090.30 | $3,090.30 |
Medcost Setting Facility Modifier None Typical Low $141.25 Median $724.44 Typical High $1,778.28 | Facility | None | $141.25 | $724.44 | $1,778.28 |
Medcost Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,412.54 | Professional | None | $1,288.25 | $1,288.25 | $1,412.54 |
Molina Setting Professional Modifier None Typical Low $1,096.48 Median $1,412.54 Typical High $2,187.76 | Professional | None | $1,096.48 | $1,412.54 | $2,187.76 |
United Setting Facility Modifier None Typical Low $302.00 Median $1,122.02 Typical High $6,606.93 | Facility | None | $302.00 | $1,122.02 | $6,606.93 |
United Setting Professional Modifier None Typical Low $112.20 Median $776.25 Typical High $1,621.81 | Professional | None | $112.20 | $776.25 | $1,621.81 |
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 $67.61 Median $169.82 Typical High $741.31 | Professional | 52 · Reduced service | $67.61 | $169.82 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $165.96 Typical High $295.12 | Professional | 53 · Discontinued | $27.54 | $165.96 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $616.60 Typical High $1,096.48 | Professional | 54 · Surgery only | $102.33 | $616.60 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $125.89 Typical High $218.78 | Professional | 55 · Aftercare only | $20.42 | $125.89 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $33.88 Typical High $147.91 | Professional | 56 · Pre-op care only | $13.80 | $33.88 | $147.91 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $645.65 Median $645.65 Typical High $891.25 | Professional | 51 · Multiple procedures | $645.65 | $645.65 | $891.25 |
Where South Carolina sits
The same service costs 5.5 times more in Hawaii than in Maryland. 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
HI $4,440MD $808
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.