How much rates vary
Facilitymedian $1,479 · 10th to 90th $832 to $6,918Professionalmedian $646 · 10th to 90th $115 to $955
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 $870.96 Median $10,964.78 Typical High $21,877.62 | Facility | None | $870.96 | $10,964.78 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $870.96 Typical High $870.96 | Professional | None | $851.14 | $870.96 | $870.96 |
BCBS South Carolina Setting Facility Modifier None Typical Low $851.14 Median $1,445.44 Typical High $2,137.96 | Facility | None | $851.14 | $1,445.44 | $2,137.96 |
BCBS South Carolina Setting Professional Modifier None Typical Low $575.44 Median $812.83 Typical High $891.25 | Professional | None | $575.44 | $812.83 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,412.54 Typical High $2,238.72 | Facility | None | $630.96 | $1,412.54 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $660.69 Typical High $1,258.93 | Professional | None | $562.34 | $660.69 | $1,258.93 |
Medcost Setting Facility Modifier None Typical Low $407.38 Median $870.96 Typical High $1,905.46 | Facility | None | $407.38 | $870.96 | $1,905.46 |
Medcost Setting Professional Modifier None Typical Low $575.44 Median $794.33 Typical High $933.25 | Professional | None | $575.44 | $794.33 | $933.25 |
Molina Setting Professional Modifier None Typical Low $102.33 Median $501.19 Typical High $954.99 | Professional | None | $102.33 | $501.19 | $954.99 |
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 $588.84 Median $741.31 Typical High $1,288.25 | Professional | None | $588.84 | $741.31 | $1,288.25 |
8 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 $436.52 Median $436.52 Typical High $436.52 | Professional | 52 · Reduced service | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $177.83 Typical High $177.83 | Professional | 53 · Discontinued | $173.78 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $660.69 Typical High $660.69 | Professional | 54 · Surgery only | $645.65 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $131.83 Typical High $131.83 | Professional | 55 · Aftercare only | $128.82 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 56 · Pre-op care only | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $616.60 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $602.56 | $616.60 | $616.60 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $870.96 Median $1,230.27 Typical High $1,513.56 | Professional | 50 · Both sides | $870.96 | $1,230.27 | $1,513.56 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $288.40 Median $407.38 Typical High $501.19 | Professional | 51 · Multiple procedures | $288.40 | $407.38 | $501.19 |
Where South Carolina sits
The same service costs 4.0 times more in Alaska than in Alabama. 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
AK $6,054AL $1,518
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.