How much rates vary
Facilitymedian $10,965 · 10th to 90th $3,311 to $43,652Professionalmedian $1,445 · 10th to 90th $891 to $1,820
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 $1,096.48 Median $12,882.50 Typical High $21,877.62 | Facility | None | $1,096.48 | $12,882.50 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,096.48 Typical High $1,348.96 | Professional | None | $1,047.13 | $1,096.48 | $1,348.96 |
BCBS South Carolina Setting Facility Modifier None Typical Low $3,467.37 Median $6,918.31 Typical High $37,153.52 | Facility | None | $3,467.37 | $6,918.31 | $37,153.52 |
BCBS South Carolina Setting Professional Modifier None Typical Low $891.25 Median $1,445.44 Typical High $2,089.30 | Professional | None | $891.25 | $1,445.44 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $33,113.11 Typical High $61,659.50 | Facility | None | $100.00 | $33,113.11 | $61,659.50 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,479.11 Typical High $2,570.40 | Professional | None | $1,288.25 | $1,479.11 | $2,570.40 |
Medcost Setting Facility Modifier None Typical Low $1,096.48 Median $1,122.02 Typical High $2,884.03 | Facility | None | $1,096.48 | $1,122.02 | $2,884.03 |
Medcost Setting Professional Modifier None Typical Low $1,230.27 Median $1,380.38 Typical High $1,621.81 | Professional | None | $1,230.27 | $1,380.38 | $1,621.81 |
Molina Setting Professional Modifier None Typical Low $912.01 Median $1,318.26 Typical High $1,737.80 | Professional | None | $912.01 | $1,318.26 | $1,737.80 |
United Setting Facility Modifier None Typical Low $5,623.41 Median $22,387.21 Typical High $43,651.58 | Facility | None | $5,623.41 | $22,387.21 | $43,651.58 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,412.54 Typical High $2,137.96 | Professional | None | $1,071.52 | $1,412.54 | $2,137.96 |
5 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 $524.81 Median $549.54 Typical High $549.54 | Professional | 52 · Reduced service | $524.81 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $208.93 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $812.83 Typical High $812.83 | Professional | 54 · Surgery only | $794.33 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $162.18 Typical High $162.18 | Professional | 55 · Aftercare only | $158.49 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $109.65 Typical High $109.65 | Professional | 56 · Pre-op care only | $104.71 | $109.65 | $109.65 |
Where South Carolina sits
The same service costs 8.1 times more in Indiana than in Kentucky. 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
IN $23,026KY $2,834
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.