How much rates vary
Facilitymedian $1,778 · 10th to 90th $661 to $10,715Professionalmedian $692 · 10th to 90th $200 to $1,318
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 $213.80 Median $5,623.41 Typical High $21,877.62 | Facility | None | $213.80 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $512.86 Typical High $891.25 | Professional | None | $213.80 | $512.86 | $891.25 |
Ambetter Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $741.31 | Professional | None | $81.28 | $81.28 | $741.31 |
BCBS South Carolina Setting Facility Modifier None Typical Low $691.83 Median $1,819.70 Typical High $10,471.29 | Facility | None | $691.83 | $1,819.70 | $10,471.29 |
BCBS South Carolina Setting Professional Modifier None Typical Low $147.91 Median $354.81 Typical High $1,096.48 | Professional | None | $147.91 | $354.81 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,862.09 Typical High $2,630.27 | Facility | None | $602.56 | $1,862.09 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $467.74 Typical High $1,412.54 | Professional | None | $218.78 | $467.74 | $1,412.54 |
Medcost Setting Facility Modifier None Typical Low $213.80 Median $691.83 Typical High $1,479.11 | Facility | None | $213.80 | $691.83 | $1,479.11 |
Medcost Setting Professional Modifier None Typical Low $251.19 Median $758.58 Typical High $1,949.84 | Professional | None | $251.19 | $758.58 | $1,949.84 |
Molina Setting Professional Modifier None Typical Low $660.69 Median $977.24 Typical High $1,318.26 | Professional | None | $660.69 | $977.24 | $1,318.26 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,511.89 Typical High $14,791.08 | Facility | None | $851.14 | $2,511.89 | $14,791.08 |
United Setting Professional Modifier None Typical Low $173.78 Median $524.81 Typical High $1,905.46 | Professional | None | $173.78 | $524.81 | $1,905.46 |
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 $107.15 Median $117.49 Typical High $446.68 | Professional | 52 · Reduced service | $107.15 | $117.49 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $46.77 Typical High $177.83 | Professional | 53 · Discontinued | $42.66 | $46.77 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $177.83 Typical High $676.08 | Professional | 54 · Surgery only | $158.49 | $177.83 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $35.48 Typical High $134.90 | Professional | 55 · Aftercare only | $31.62 | $35.48 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $23.44 Typical High $89.13 | Professional | 56 · Pre-op care only | $21.38 | $23.44 | $89.13 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $125.89 Median $380.19 Typical High $977.24 | Professional | 51 · Multiple procedures | $125.89 | $380.19 | $977.24 |
Where South Carolina sits
The same service costs 4.0 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 $5,041MT $1,267
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.