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 $47.86 Median $4,897.79 Typical High $21,877.62 | Facility | None | $47.86 | $4,897.79 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $67.61 Typical High $89.13 | Professional | None | $46.77 | $67.61 | $89.13 |
BCBS South Carolina Setting Facility Modifier None Typical Low $295.12 Median $512.86 Typical High $912.01 | Facility | None | $295.12 | $512.86 | $912.01 |
BCBS South Carolina Setting Professional Modifier None Typical Low $33.11 Median $67.61 Typical High $104.71 | Professional | None | $33.11 | $67.61 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $70.79 Typical High $489.78 | Facility | None | $51.29 | $70.79 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $72.44 Typical High $134.90 | Professional | None | $45.71 | $72.44 | $134.90 |
Medcost Setting Facility Modifier None Typical Low $40.74 Median $56.23 Typical High $97.72 | Facility | None | $40.74 | $56.23 | $97.72 |
Medcost Setting Professional Modifier None Typical Low $67.61 Median $79.43 Typical High $97.72 | Professional | None | $67.61 | $79.43 | $97.72 |
Molina Setting Professional Modifier None Typical Low $64.57 Median $89.13 Typical High $125.89 | Professional | None | $64.57 | $89.13 | $125.89 |
United Setting Facility Modifier None Typical Low $83.18 Median $446.68 Typical High $2,238.72 | Facility | None | $83.18 | $446.68 | $2,238.72 |
United Setting Professional Modifier None Typical Low $38.02 Median $66.07 Typical High $112.20 | Professional | None | $38.02 | $66.07 | $112.20 |
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 $35.48 Median $38.90 Typical High $66.07 | Professional | 54 · Surgery only | $35.48 | $38.90 | $66.07 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $39.81 Median $39.81 Typical High $64.57 | Professional | 51 · Multiple procedures | $39.81 | $39.81 | $64.57 |
Where South Carolina sits
The same service costs 3.5 times more in Wisconsin than in Kentucky. 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· 25th of 51
$77.62
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.