How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,445.44 | Professional | None | $1,380.38 | $1,380.38 | $1,445.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $691.83 Median $691.83 Typical High $707.95 | Professional | 52 · Reduced service | $691.83 | $691.83 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $288.40 | Professional | 53 · Discontinued | $275.42 | $275.42 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $208.93 Typical High $213.80 | Professional | 55 · Aftercare only | $204.17 | $208.93 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $144.54 | Professional | 56 · Pre-op care only | $138.04 | $138.04 | $144.54 |
BCBS South Carolina Setting Professional Modifier None Typical Low $1,000.00 Median $1,288.25 Typical High $1,737.80 | Professional | None | $1,000.00 | $1,288.25 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Medcost Setting Facility Modifier None Typical Low $1,148.15 Median $1,513.56 Typical High $4,786.30 | Facility | None | $1,148.15 | $1,513.56 | $4,786.30 |
Medcost Setting Professional Modifier None Typical Low $1,202.26 Median $1,230.27 Typical High $1,949.84 | Professional | None | $1,202.26 | $1,230.27 | $1,949.84 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
United Setting Professional Modifier None Typical Low $645.65 Median $776.25 Typical High $1,023.29 | Professional | None | $645.65 | $776.25 | $1,023.29 |
1 more rate 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $602.56 Median $616.60 Typical High $1,230.27 | Professional | 51 · Multiple procedures | $602.56 | $616.60 | $1,230.27 |
Where South Carolina sits
The same service costs 2.7 times more in Montana than in New Jersey. 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· 23rd of 51
$1,288
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.