How much rates vary
Facilitymedian $1,380 · 10th to 90th $525 to $9,120Professionalmedian $661 · 10th to 90th $120 to $1,288
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 $194.98 Median $5,623.41 Typical High $21,877.62 | Facility | None | $194.98 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $575.44 Typical High $1,047.13 | Professional | None | $194.98 | $575.44 | $1,047.13 |
Ambetter Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
BCBS South Carolina Setting Facility Modifier None Typical Low $512.86 Median $1,258.93 Typical High $7,762.47 | Facility | None | $512.86 | $1,258.93 | $7,762.47 |
BCBS South Carolina Setting Professional Modifier None Typical Low $128.82 Median $223.87 Typical High $776.25 | Professional | None | $128.82 | $223.87 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,258.93 Typical High $1,995.26 | Facility | None | $602.56 | $1,258.93 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $398.11 Typical High $954.99 | Professional | None | $190.55 | $398.11 | $954.99 |
Medcost Setting Facility Modifier None Typical Low $257.04 Median $1,047.13 Typical High $1,380.38 | Facility | None | $257.04 | $1,047.13 | $1,380.38 |
Medcost Setting Professional Modifier None Typical Low $562.34 Median $776.25 Typical High $954.99 | Professional | None | $562.34 | $776.25 | $954.99 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $870.96 Typical High $1,412.54 | Professional | None | $81.28 | $870.96 | $1,412.54 |
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 $151.36 Median $512.86 Typical High $1,023.29 | Professional | None | $151.36 | $512.86 | $1,023.29 |
4 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 54 · Surgery only Typical Low $147.91 Median $208.93 Typical High $794.33 | Professional | 54 · Surgery only | $147.91 | $208.93 | $794.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $138.04 Median $194.98 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $138.04 | $194.98 | $741.31 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $851.14 Median $1,148.15 Typical High $1,778.28 | Professional | 50 · Both sides | $851.14 | $1,148.15 | $1,778.28 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $281.84 Median $389.05 Typical High $602.56 | Professional | 51 · Multiple procedures | $281.84 | $389.05 | $602.56 |
Where South Carolina sits
The same service costs 3.5 times more in Colorado 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
CO $4,667MT $1,347
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.