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 $501.19 Median $9,120.11 Typical High $21,877.62 | Facility | None | $501.19 | $9,120.11 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $1,288.25 Typical High $1,819.70 | Professional | None | $489.78 | $1,288.25 | $1,819.70 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,737.80 Median $5,011.87 Typical High $18,197.01 | Facility | None | $1,737.80 | $5,011.87 | $18,197.01 |
BCBS South Carolina Setting Professional Modifier None Typical Low $389.05 Median $707.95 Typical High $2,630.27 | Professional | None | $389.05 | $707.95 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $3,235.94 Typical High $5,248.07 | Facility | None | $602.56 | $3,235.94 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $1,445.44 Typical High $2,884.03 | Professional | None | $478.63 | $1,445.44 | $2,884.03 |
Medcost Setting Facility Modifier None Typical Low $501.19 Median $1,949.84 Typical High $3,715.35 | Facility | None | $501.19 | $1,949.84 | $3,715.35 |
Medcost Setting Professional Modifier None Typical Low $1,905.46 Median $2,238.72 Typical High $2,630.27 | Professional | None | $1,905.46 | $2,238.72 | $2,630.27 |
Molina Setting Professional Modifier None Typical Low $239.88 Median $1,584.89 Typical High $2,630.27 | Professional | None | $239.88 | $1,584.89 | $2,630.27 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $3,890.45 Typical High $24,547.09 | Facility | None | $1,445.44 | $3,890.45 | $24,547.09 |
United Setting Professional Modifier None Typical Low $436.52 Median $1,380.38 Typical High $3,235.94 | Professional | None | $436.52 | $1,380.38 | $3,235.94 |
5 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 $363.08 Median $446.68 Typical High $1,348.96 | Professional | 54 · Surgery only | $363.08 | $446.68 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $89.13 Typical High $269.15 | Professional | 55 · Aftercare only | $72.44 | $89.13 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $60.26 Typical High $181.97 | Professional | 56 · Pre-op care only | $48.98 | $60.26 | $181.97 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $416.87 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $338.84 | $416.87 | $1,258.93 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,023.29 Median $1,148.15 Typical High $1,479.11 | Professional | 51 · Multiple procedures | $1,023.29 | $1,148.15 | $1,479.11 |
Where South Carolina sits
The same service costs 4.5 times more in Alaska than in Nebraska. 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· 30th of 51
$1,698
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.