How much rates vary
Facilitymedian $1,778 · 10th to 90th $794 to $9,772Professionalmedian $741 · 10th to 90th $132 to $1,202
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 $812.83 Median $9,120.11 Typical High $21,877.62 | Facility | None | $812.83 | $9,120.11 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $812.83 Typical High $977.24 | Professional | None | $630.96 | $812.83 | $977.24 |
BCBS South Carolina Setting Facility Modifier None Typical Low $851.14 Median $1,995.26 Typical High $7,762.47 | Facility | None | $851.14 | $1,995.26 | $7,762.47 |
BCBS South Carolina Setting Professional Modifier None Typical Low $537.03 Median $741.31 Typical High $891.25 | Professional | None | $537.03 | $741.31 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,230.27 Typical High $1,949.84 | Facility | None | $602.56 | $1,230.27 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $707.95 Typical High $1,258.93 | Professional | None | $512.86 | $707.95 | $1,258.93 |
Medcost Setting Facility Modifier None Typical Low $537.03 Median $851.14 Typical High $1,698.24 | Facility | None | $537.03 | $851.14 | $1,698.24 |
Medcost Setting Professional Modifier None Typical Low $562.34 Median $870.96 Typical High $1,096.48 | Professional | None | $562.34 | $870.96 | $1,096.48 |
Molina Setting Professional Modifier None Typical Low $102.33 Median $660.69 Typical High $1,258.93 | Professional | None | $102.33 | $660.69 | $1,258.93 |
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 $407.38 Median $407.38 Typical High $489.78 | Professional | 52 · Reduced service | $407.38 | $407.38 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $162.18 Typical High $194.98 | Professional | 53 · Discontinued | $162.18 | $162.18 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $602.56 Typical High $724.44 | Professional | 54 · Surgery only | $602.56 | $602.56 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $123.03 Typical High $144.54 | Professional | 55 · Aftercare only | $123.03 | $123.03 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $81.28 Typical High $97.72 | Professional | 56 · Pre-op care only | $81.28 | $81.28 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $562.34 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $562.34 | $562.34 | $676.08 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $831.76 Median $1,318.26 Typical High $1,659.59 | Professional | 50 · Both sides | $831.76 | $1,318.26 | $1,659.59 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $281.84 Median $446.68 Typical High $549.54 | Professional | 51 · Multiple procedures | $281.84 | $446.68 | $549.54 |
Where South Carolina sits
The same service costs 3.7 times more in Alaska than in West Virginia. 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 $6,098WV $1,627
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.