How much rates vary
Facilitymedian $794 · 10th to 90th $407 to $3,548Professionalmedian $158 · 10th to 90th $100 to $200
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 $125.89 Median $5,623.41 Typical High $21,877.62 | Facility | None | $125.89 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $125.89 Typical High $125.89 | Professional | None | $104.71 | $125.89 | $125.89 |
BCBS South Carolina Setting Facility Modifier None Typical Low $501.19 Median $870.96 Typical High $2,951.21 | Facility | None | $501.19 | $870.96 | $2,951.21 |
BCBS South Carolina Setting Professional Modifier None Typical Low $100.00 Median $181.97 Typical High $234.42 | Professional | None | $100.00 | $181.97 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $478.63 Typical High $794.33 | Facility | None | $426.58 | $478.63 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $144.54 Typical High $251.19 | Professional | None | $141.25 | $144.54 | $251.19 |
Medcost Setting Facility Modifier None Typical Low $125.89 Median $436.52 Typical High $630.96 | Facility | None | $125.89 | $436.52 | $630.96 |
Medcost Setting Professional Modifier None Typical Low $123.03 Median $158.49 Typical High $223.87 | Professional | None | $123.03 | $158.49 | $223.87 |
Molina Setting Professional Modifier None Typical Low $100.00 Median $134.90 Typical High $190.55 | Professional | None | $100.00 | $134.90 | $190.55 |
United Setting Facility Modifier None Typical Low $302.00 Median $1,122.02 Typical High $6,025.60 | Facility | None | $302.00 | $1,122.02 | $6,025.60 |
United Setting Professional Modifier None Typical Low $102.33 Median $141.25 Typical High $245.47 | Professional | None | $102.33 | $141.25 | $245.47 |
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 $52.48 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $52.48 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $20.89 | $25.12 | $25.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $77.62 Median $93.33 Typical High $93.33 | Professional | 54 · Surgery only | $77.62 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $18.62 Typical High $18.62 | Professional | 55 · Aftercare only | $15.49 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $12.59 Typical High $12.59 | Professional | 56 · Pre-op care only | $10.47 | $12.59 | $12.59 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $72.44 Median $91.20 Typical High $112.20 | Professional | 51 · Multiple procedures | $72.44 | $91.20 | $112.20 |
Where South Carolina sits
The same service costs 8.1 times more in New York 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
NY $2,852MT $352
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.