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 $34.67 Median $4,897.79 Typical High $21,877.62 | Facility | None | $34.67 | $4,897.79 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $34.67 Typical High $36.31 | Professional | None | $33.11 | $34.67 | $36.31 |
BCBS Setting Facility Modifier None Typical Low $851.14 Median $1,778.28 Typical High $2,818.38 | Facility | None | $851.14 | $1,778.28 | $2,818.38 |
BCBS Setting Professional Modifier None Typical Low $21.38 Median $30.90 Typical High $39.81 | Professional | None | $21.38 | $30.90 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $851.14 Typical High $1,995.26 | Facility | None | $416.87 | $851.14 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $28.84 Typical High $50.12 | Professional | None | $23.44 | $28.84 | $50.12 |
Medcost Setting Facility Modifier None Typical Low $13.80 Median $25.12 Typical High $46.77 | Facility | None | $13.80 | $25.12 | $46.77 |
Medcost Setting Professional Modifier None Typical Low $28.18 Median $30.90 Typical High $35.48 | Professional | None | $28.18 | $30.90 | $35.48 |
United Setting Facility Modifier None Typical Low $83.18 Median $426.58 Typical High $2,238.72 | Facility | None | $83.18 | $426.58 | $2,238.72 |
United Setting Professional Modifier None Typical Low $24.55 Median $30.90 Typical High $51.29 | Professional | None | $24.55 | $30.90 | $51.29 |
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 $17.38 Median $17.38 Typical High $18.20 | Professional | 52 · Reduced service | $17.38 | $17.38 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $7.24 | Professional | 53 · Discontinued | $6.92 | $6.92 | $7.24 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $25.70 Median $25.70 Typical High $27.54 | Professional | 54 · Surgery only | $25.70 | $25.70 | $27.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.13 Median $5.13 Typical High $5.50 | Professional | 55 · Aftercare only | $5.13 | $5.13 | $5.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.47 Median $3.47 Typical High $3.63 | Professional | 56 · Pre-op care only | $3.47 | $3.47 | $3.63 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $14.13 Median $15.49 Typical High $20.89 | Professional | 51 · Multiple procedures | $14.13 | $15.49 | $20.89 |
Where South Carolina sits
The same service costs 4.1 times more in Alaska than in New Jersey. 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· 36th of 51
$33.11
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.