How much rates vary
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 $346.74 Median $12,022.64 Typical High $21,877.62 | Facility | None | $346.74 | $12,022.64 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
BCBS South Carolina Setting Facility Modifier None Typical Low $3,467.37 Median $6,918.31 Typical High $52,480.75 | Facility | None | $3,467.37 | $6,918.31 | $52,480.75 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $21,379.62 Typical High $30,199.52 | Facility | None | $602.56 | $21,379.62 | $30,199.52 |
Medcost Setting Facility Modifier None Typical Low $346.74 Median $416.87 Typical High $33,113.11 | Facility | None | $346.74 | $416.87 | $33,113.11 |
Medcost Setting Professional Modifier None Typical Low $346.74 Median $354.81 Typical High $512.86 | Professional | None | $346.74 | $354.81 | $512.86 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
United Setting Facility Modifier None Typical Low $4,365.16 Median $28,840.32 Typical High $69,183.10 | Facility | None | $4,365.16 | $28,840.32 | $69,183.10 |
United Setting Professional Modifier None Typical Low $346.74 Median $537.03 Typical High $891.25 | Professional | None | $346.74 | $537.03 | $891.25 |
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 $173.78 Median $173.78 Typical High $173.78 | Professional | 52 · Reduced service | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 53 · Discontinued | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $263.03 Typical High $263.03 | Professional | 54 · Surgery only | $257.04 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $52.48 Typical High $52.48 | Professional | 55 · Aftercare only | $51.29 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 56 · Pre-op care only | $34.67 | $34.67 | $34.67 |
Where South Carolina sits
The same service costs 63.1 times more in Arkansas than in New York. 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· 8th of 51
$6,918
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.