How much rates vary
Facilitymedian $9,772 · 10th to 90th $2,089 to $19,953Professionalmedian $302 · 10th to 90th $191 to $468
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 $9,549.93 Median $13,489.63 Typical High $21,877.62 | Facility | None | $9,549.93 | $13,489.63 | $21,877.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $9,120.11 Typical High $20,417.38 | Professional | None (both parts) | $263.03 | $9,120.11 | $20,417.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $302.00 Typical High $302.00 | Professional | 26 · Professional part | $295.12 | $302.00 | $302.00 |
BCBS South Carolina Setting Facility Modifier None Typical Low $6,165.95 Median $10,471.29 Typical High $18,197.01 | Facility | None | $6,165.95 | $10,471.29 | $18,197.01 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $281.84 Typical High $467.74 | Professional | 26 · Professional part | $263.03 | $281.84 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $11,748.98 Typical High $19,054.61 | Facility | None | $100.00 | $11,748.98 | $19,054.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None (both parts) | $407.38 | $407.38 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $398.11 Typical High $691.83 | Professional | 26 · Professional part | $346.74 | $398.11 | $691.83 |
Medcost Setting Facility Modifier None Typical Low $302.00 Median $316.23 Typical High $776.25 | Facility | None | $302.00 | $316.23 | $776.25 |
Medcost Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $436.52 | Professional | None (both parts) | $309.03 | $309.03 | $436.52 |
Molina Setting Professional Modifier None (both parts) Typical Low $151.36 Median $239.88 Typical High $338.84 | Professional | None (both parts) | $151.36 | $239.88 | $338.84 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $4,265.80 Typical High $21,379.62 | Facility | None | $1,445.44 | $4,265.80 | $21,379.62 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $380.19 Typical High $575.44 | Professional | None (both parts) | $302.00 | $380.19 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $380.19 Typical High $575.44 | Professional | 26 · Professional part | $302.00 | $380.19 | $575.44 |
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 $147.91 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $147.91 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $60.26 Typical High $60.26 | Professional | 53 · Discontinued | $58.88 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $229.09 Typical High $229.09 | Professional | 54 · Surgery only | $218.78 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $45.71 Typical High $45.71 | Professional | 55 · Aftercare only | $43.65 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $30.20 Typical High $30.20 | Professional | 56 · Pre-op care only | $29.51 | $30.20 | $30.20 |
Where South Carolina sits
The same service costs 23.4 times more in Colorado 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.
South Carolina· 21st of 51
$1,514
CO $6,761KY $288
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.