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 $371.54 Median $12,022.64 Typical High $21,877.62 | Facility | None | $371.54 | $12,022.64 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $389.05 | Professional | None | $371.54 | $371.54 | $389.05 |
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 $20,417.38 Typical High $28,840.32 | Facility | None | $602.56 | $20,417.38 | $28,840.32 |
Medcost Setting Facility Modifier None Typical Low $371.54 Median $436.52 Typical High $33,113.11 | Facility | None | $371.54 | $436.52 | $33,113.11 |
Medcost Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $562.34 | Professional | None | $371.54 | $371.54 | $562.34 |
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 $389.05 Median $588.84 Typical High $954.99 | Professional | None | $389.05 | $588.84 | $954.99 |
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 $181.97 Median $181.97 Typical High $190.55 | Professional | 52 · Reduced service | $181.97 | $181.97 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $77.62 | Professional | 53 · Discontinued | $74.13 | $74.13 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $275.42 Typical High $288.40 | Professional | 54 · Surgery only | $275.42 | $275.42 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $54.95 Typical High $57.54 | Professional | 55 · Aftercare only | $54.95 | $54.95 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $37.15 Typical High $38.90 | Professional | 56 · Pre-op care only | $37.15 | $37.15 | $38.90 |
Where South Carolina sits
The same service costs 57.5 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· 9th 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.