How much rates vary
Facilitymedian $10,000 · 10th to 90th $2,188 to $19,953Professionalmedian $275 · 10th to 90th $174 to $427
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 $234.42 Median $9,120.11 Typical High $20,417.38 | Professional | None (both parts) | $234.42 | $9,120.11 | $20,417.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $275.42 Typical High $275.42 | Professional | 26 · Professional part | $263.03 | $275.42 | $275.42 |
BCBS South Carolina Setting Facility Modifier None Typical Low $6,165.95 Median $10,715.19 Typical High $18,197.01 | Facility | None | $6,165.95 | $10,715.19 | $18,197.01 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $371.54 Typical High $616.60 | Professional | 26 · Professional part | $245.47 | $371.54 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $11,748.98 Median $16,595.87 Typical High $30,199.52 | Facility | None | $11,748.98 | $16,595.87 | $30,199.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $371.54 | $371.54 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $354.81 Typical High $630.96 | Professional | 26 · Professional part | $309.03 | $354.81 | $630.96 |
Medcost Setting Facility Modifier None Typical Low $275.42 Median $281.84 Typical High $707.95 | Facility | None | $275.42 | $281.84 | $707.95 |
Medcost Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $398.11 | Professional | None (both parts) | $281.84 | $281.84 | $398.11 |
Molina Setting Professional Modifier None (both parts) Typical Low $138.04 Median $229.09 Typical High $338.84 | Professional | None (both parts) | $138.04 | $229.09 | $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 $269.15 Median $338.84 Typical High $512.86 | Professional | None (both parts) | $269.15 | $338.84 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $338.84 Typical High $512.86 | Professional | 26 · Professional part | $269.15 | $338.84 | $512.86 |
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 $131.83 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $131.83 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $53.70 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $204.17 Typical High $204.17 | Professional | 54 · Surgery only | $199.53 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $40.74 Typical High $40.74 | Professional | 55 · Aftercare only | $39.81 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $27.54 Typical High $27.54 | Professional | 56 · Pre-op care only | $26.30 | $27.54 | $27.54 |
Where South Carolina sits
The same service costs 19.5 times more in Colorado than in Maryland. 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
$1,660
CO $6,761MD $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.