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 $66.07 Median $4,897.79 Typical High $21,877.62 | Facility | None | $66.07 | $4,897.79 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $87.10 Typical High $123.03 | Professional | None | $66.07 | $87.10 | $123.03 |
BCBS Setting Facility Modifier None Typical Low $489.78 Median $794.33 Typical High $1,621.81 | Facility | None | $489.78 | $794.33 | $1,621.81 |
BCBS Setting Professional Modifier None Typical Low $46.77 Median $123.03 Typical High $162.18 | Professional | None | $46.77 | $123.03 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $125.89 Typical High $707.95 | Facility | None | $57.54 | $125.89 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $128.82 Typical High $186.21 | Professional | None | $83.18 | $128.82 | $186.21 |
Medcost Setting Facility Modifier None Typical Low $66.07 Median $138.04 Typical High $165.96 | Facility | None | $66.07 | $138.04 | $165.96 |
Medcost Setting Professional Modifier None Typical Low $100.00 Median $147.91 Typical High $223.87 | Professional | None | $100.00 | $147.91 | $223.87 |
Molina Setting Professional Modifier None Typical Low $95.50 Median $117.49 Typical High $173.78 | Professional | None | $95.50 | $117.49 | $173.78 |
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 $50.12 Median $87.10 Typical High $190.55 | Professional | None | $50.12 | $87.10 | $190.55 |
7 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 $33.11 Median $38.02 Typical High $51.29 | Professional | 52 · Reduced service | $33.11 | $38.02 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $15.14 Typical High $20.42 | Professional | 53 · Discontinued | $13.18 | $15.14 | $20.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $48.98 Median $56.23 Typical High $75.86 | Professional | 54 · Surgery only | $48.98 | $56.23 | $75.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $11.22 Typical High $15.14 | Professional | 55 · Aftercare only | $10.00 | $11.22 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $7.59 Typical High $10.23 | Professional | 56 · Pre-op care only | $6.61 | $7.59 | $10.23 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $186.21 Median $245.47 Typical High $338.84 | Professional | 50 · Both sides | $186.21 | $245.47 | $338.84 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $61.66 Median $81.28 Typical High $112.20 | Professional | 51 · Multiple procedures | $61.66 | $81.28 | $112.20 |
Where South Carolina sits
The same service costs 3.2 times more in Alaska 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· 14th of 51
$123
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.