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 $109.65 Median $5,623.41 Typical High $21,877.62 | Facility | None | $109.65 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $125.89 | Professional | None | $109.65 | $109.65 | $125.89 |
BCBS South Carolina Setting Facility Modifier None Typical Low $616.60 Median $831.76 Typical High $1,949.84 | Facility | None | $616.60 | $831.76 | $1,949.84 |
BCBS South Carolina Setting Professional Modifier None Typical Low $109.65 Median $1,862.09 Typical High $1,862.09 | Professional | None | $109.65 | $1,862.09 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $562.34 Typical High $1,122.02 | Facility | None | $346.74 | $562.34 | $1,122.02 |
Medcost Setting Facility Modifier None Typical Low $109.65 Median $131.83 Typical High $2,089.30 | Facility | None | $109.65 | $131.83 | $2,089.30 |
Medcost Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $190.55 | Professional | None | $117.49 | $117.49 | $190.55 |
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 $302.00 Median $1,122.02 Typical High $6,025.60 | Facility | None | $302.00 | $1,122.02 | $6,025.60 |
United Setting Professional Modifier None Typical Low $144.54 Median $190.55 Typical High $323.59 | Professional | None | $144.54 | $190.55 | $323.59 |
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 $54.95 Median $54.95 Typical High $61.66 | Professional | 52 · Reduced service | $54.95 | $54.95 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $24.55 | Professional | 53 · Discontinued | $22.39 | $22.39 | $24.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $16.60 Typical High $18.62 | Professional | 55 · Aftercare only | $16.60 | $16.60 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $10.96 Typical High $12.30 | Professional | 56 · Pre-op care only | $10.96 | $10.96 | $12.30 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $58.88 Median $58.88 Typical High $123.03 | Professional | 51 · Multiple procedures | $58.88 | $58.88 | $123.03 |
Where South Carolina sits
The same service costs 24.5 times more in Texas than in Missouri. 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· 22nd of 51
$331
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.