How much rates vary
Facilitymedian $2,951 · 10th to 90th $1,514 to $12,023Professionalmedian $631 · 10th to 90th $120 to $1,738
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 $851.14 Median $11,481.54 Typical High $21,877.62 | Facility | None | $851.14 | $11,481.54 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $851.14 Typical High $891.25 | Professional | None | $676.08 | $851.14 | $891.25 |
Ambetter Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,862.09 Median $2,951.21 Typical High $8,709.64 | Facility | None | $1,862.09 | $2,951.21 | $8,709.64 |
BCBS South Carolina Setting Professional Modifier None Typical Low $562.34 Median $1,737.80 Typical High $1,862.09 | Professional | None | $562.34 | $1,737.80 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $4,365.16 Typical High $6,165.95 | Facility | None | $602.56 | $4,365.16 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $831.76 Typical High $1,202.26 | Professional | None | $707.95 | $831.76 | $1,202.26 |
Medcost Setting Facility Modifier None Typical Low $707.95 Median $1,148.15 Typical High $5,128.61 | Facility | None | $707.95 | $1,148.15 | $5,128.61 |
Medcost Setting Professional Modifier None Typical Low $776.25 Median $891.25 Typical High $891.25 | Professional | None | $776.25 | $891.25 | $891.25 |
Molina Setting Professional Modifier None Typical Low $104.71 Median $446.68 Typical High $954.99 | Professional | None | $104.71 | $446.68 | $954.99 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $4,265.80 Typical High $24,547.09 | Facility | None | $1,445.44 | $4,265.80 | $24,547.09 |
United Setting Professional Modifier None Typical Low $616.60 Median $741.31 Typical High $1,348.96 | Professional | None | $616.60 | $741.31 | $1,348.96 |
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 $416.87 Median $426.58 Typical High $426.58 | Professional | 52 · Reduced service | $416.87 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $169.82 Typical High $169.82 | Professional | 53 · Discontinued | $165.96 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $630.96 Typical High $630.96 | Professional | 54 · Surgery only | $616.60 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $125.89 Typical High $125.89 | Professional | 55 · Aftercare only | $123.03 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $85.11 Typical High $85.11 | Professional | 56 · Pre-op care only | $83.18 | $85.11 | $85.11 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,348.96 Median $1,348.96 Typical High $1,445.44 | Professional | 50 · Both sides | $1,348.96 | $1,348.96 | $1,445.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $446.68 Median $446.68 Typical High $478.63 | Professional | 51 · Multiple procedures | $446.68 | $446.68 | $478.63 |
Where South Carolina sits
The same service costs 5.9 times more in Alaska 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
AK $12,304MT $2,095
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.