How much rates vary
Facilitymedian $617 · 10th to 90th $87 to $27,542Professionalmedian $646 · 10th to 90th $389 to $955
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 $524.81 Median $27,542.29 Typical High $95,499.26 | Facility | None | $524.81 | $27,542.29 | $95,499.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $524.81 Typical High $524.81 | Professional | None (both parts) | $512.86 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $398.11 Typical High $398.11 | Professional | 26 · Professional part | $371.54 | $398.11 | $398.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $125.89 Typical High $125.89 | Professional | TC · Technical part | $123.03 | $125.89 | $125.89 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $602.56 Median $724.44 Typical High $1,096.48 | Professional | None (both parts) | $602.56 | $724.44 | $1,096.48 |
BCBS South Carolina Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $478.63 Typical High $870.96 | Professional | 26 · Professional part | $380.19 | $478.63 | $870.96 |
BCBS South Carolina Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $245.47 Typical High $338.84 | Professional | TC · Technical part | $213.80 | $245.47 | $338.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $575.44 Median $691.83 Typical High $1,230.27 | Professional | None (both parts) | $575.44 | $691.83 | $1,230.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $501.19 Typical High $933.25 | Professional | 26 · Professional part | $436.52 | $501.19 | $933.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $162.18 Typical High $331.13 | Professional | TC · Technical part | $138.04 | $162.18 | $331.13 |
Medcost Setting Facility Modifier None Typical Low $524.81 Median $602.56 Typical High $1,047.13 | Facility | None | $524.81 | $602.56 | $1,047.13 |
Medcost Setting Professional Modifier None (both parts) Typical Low $588.84 Median $776.25 Typical High $1,047.13 | Professional | None (both parts) | $588.84 | $776.25 | $1,047.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $338.84 Median $501.19 Typical High $776.25 | Professional | None (both parts) | $338.84 | $501.19 | $776.25 |
United Setting Facility Modifier None Typical Low $83.18 Median $426.58 Typical High $11,748.98 | Facility | None | $83.18 | $426.58 | $11,748.98 |
United Setting Professional Modifier None (both parts) Typical Low $676.08 Median $831.76 Typical High $1,584.89 | Professional | None (both parts) | $676.08 | $831.76 | $1,584.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $467.74 Typical High $724.44 | Professional | 26 · Professional part | $389.05 | $467.74 | $724.44 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $346.74 Typical High $645.65 | Professional | TC · Technical part | $263.03 | $346.74 | $645.65 |
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 $257.04 Median $263.03 Typical High $263.03 | Professional | 52 · Reduced service | $257.04 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $102.33 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $389.05 Typical High $389.05 | Professional | 54 · Surgery only | $380.19 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $77.62 Typical High $77.62 | Professional | 55 · Aftercare only | $75.86 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $52.48 Typical High $52.48 | Professional | 56 · Pre-op care only | $51.29 | $52.48 | $52.48 |
Where South Carolina sits
The same service costs 5.6 times more in Nebraska 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· 45th of 51
$646
NE $2,818MD $501
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.