How much rates vary
Facilitymedian $1,202 · 10th to 90th $661 to $10,471Professionalmedian $708 · 10th to 90th $170 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 $245.47 Median $5,623.41 Typical High $21,877.62 | Facility | None | $245.47 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $724.44 Typical High $954.99 | Professional | None | $218.78 | $724.44 | $954.99 |
BCBS South Carolina Setting Facility Modifier None Typical Low $676.08 Median $891.25 Typical High $9,772.37 | Facility | None | $676.08 | $891.25 | $9,772.37 |
BCBS South Carolina Setting Professional Modifier None Typical Low $169.82 Median $316.23 Typical High $707.95 | Professional | None | $169.82 | $316.23 | $707.95 |
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 $194.98 Median $562.34 Typical High $1,479.11 | Professional | None | $194.98 | $562.34 | $1,479.11 |
Medcost Setting Facility Modifier None Typical Low $245.47 Median $691.83 Typical High $1,479.11 | Facility | None | $245.47 | $691.83 | $1,479.11 |
Medcost Setting Professional Modifier None Typical Low $213.80 Median $1,000.00 Typical High $1,819.70 | Professional | None | $213.80 | $1,000.00 | $1,819.70 |
Molina Setting Professional Modifier None Typical Low $691.83 Median $1,000.00 Typical High $1,380.38 | Professional | None | $691.83 | $1,000.00 | $1,380.38 |
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 $199.53 Median $549.54 Typical High $1,862.09 | Professional | None | $199.53 | $549.54 | $1,862.09 |
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 $134.90 Typical High $467.74 | Professional | 52 · Reduced service | $123.03 | $134.90 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $53.70 Typical High $186.21 | Professional | 53 · Discontinued | $48.98 | $53.70 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $204.17 Typical High $707.95 | Professional | 54 · Surgery only | $186.21 | $204.17 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $40.74 Typical High $141.25 | Professional | 55 · Aftercare only | $37.15 | $40.74 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $26.92 Typical High $93.33 | Professional | 56 · Pre-op care only | $24.55 | $26.92 | $93.33 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $107.15 Median $501.19 Typical High $912.01 | Professional | 51 · Multiple procedures | $107.15 | $501.19 | $912.01 |
Where South Carolina sits
The same service costs 3.8 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 $5,124MT $1,344
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.