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 $33.11 Median $4,897.79 Typical High $21,877.62 | Facility | None | $33.11 | $4,897.79 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $56.23 Typical High $77.62 | Professional | None | $32.36 | $56.23 | $77.62 |
BCBS South Carolina Setting Facility Modifier None Typical Low $134.90 Median $295.12 Typical High $416.87 | Facility | None | $134.90 | $295.12 | $416.87 |
BCBS South Carolina Setting Professional Modifier None Typical Low $22.91 Median $32.36 Typical High $66.07 | Professional | None | $22.91 | $32.36 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $851.14 Typical High $1,905.46 | Facility | None | $588.84 | $851.14 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $67.61 Typical High $93.33 | Professional | None | $33.88 | $67.61 | $93.33 |
Medcost Setting Facility Modifier None Typical Low $32.36 Median $74.13 Typical High $104.71 | Facility | None | $32.36 | $74.13 | $104.71 |
Medcost Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $95.50 | Professional | None | $81.28 | $95.50 | $95.50 |
Molina Setting Professional Modifier None Typical Low $95.50 Median $117.49 Typical High $169.82 | Professional | None | $95.50 | $117.49 | $169.82 |
United Setting Facility Modifier None Typical Low $83.18 Median $426.58 Typical High $2,238.72 | Facility | None | $83.18 | $426.58 | $2,238.72 |
United Setting Professional Modifier None Typical Low $26.92 Median $58.88 Typical High $100.00 | Professional | None | $26.92 | $58.88 | $100.00 |
6 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 $16.60 Median $16.60 Typical High $38.90 | Professional | 52 · Reduced service | $16.60 | $16.60 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $6.76 Typical High $15.49 | Professional | 53 · Discontinued | $6.76 | $6.76 | $15.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $25.12 Median $25.12 Typical High $57.54 | Professional | 54 · Surgery only | $25.12 | $25.12 | $57.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.01 Median $5.01 Typical High $11.48 | Professional | 55 · Aftercare only | $5.01 | $5.01 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.31 Median $3.31 Typical High $7.76 | Professional | 56 · Pre-op care only | $3.31 | $3.31 | $7.76 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $47.86 Median $47.86 Typical High $50.12 | Professional | 51 · Multiple procedures | $47.86 | $47.86 | $50.12 |
Where South Carolina sits
The same service costs 3.3 times more in Alaska than in Kentucky. 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
$60.26
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.