How much rates vary
Facilitymedian $1,778 · 10th to 90th $676 to $6,607Professionalmedian $741 · 10th to 90th $162 to $1,072
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 $724.44 Median $8,709.64 Typical High $20,417.38 | Facility | None | $724.44 | $8,709.64 | $20,417.38 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $794.33 Typical High $977.24 | Professional | None | $676.08 | $794.33 | $977.24 |
Ambetter Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
BCBS South Carolina Setting Facility Modifier None Typical Low $851.14 Median $1,778.28 Typical High $6,309.57 | Facility | None | $851.14 | $1,778.28 | $6,309.57 |
BCBS South Carolina Setting Professional Modifier None Typical Low $549.54 Median $831.76 Typical High $1,202.26 | Professional | None | $549.54 | $831.76 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,258.93 Typical High $2,041.74 | Facility | None | $602.56 | $1,258.93 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $724.44 Typical High $1,047.13 | Professional | None | $588.84 | $724.44 | $1,047.13 |
Medcost Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Medcost Setting Facility Modifier None Typical Low $616.60 Median $794.33 Typical High $1,698.24 | Facility | None | $616.60 | $794.33 | $1,698.24 |
Medcost Setting Professional Modifier None Typical Low $724.44 Median $870.96 Typical High $1,445.44 | Professional | None | $724.44 | $870.96 | $1,445.44 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $602.56 Typical High $933.25 | Professional | None | $79.43 | $602.56 | $933.25 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,479.11 Typical High $8,912.51 | Facility | None | $512.86 | $1,479.11 | $8,912.51 |
United Setting Professional Modifier None Typical Low $549.54 Median $724.44 Typical High $1,230.27 | Professional | None | $549.54 | $724.44 | $1,230.27 |
8 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 $363.08 Median $363.08 Typical High $416.87 | Professional | 52 · Reduced service | $363.08 | $363.08 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $165.96 | Professional | 53 · Discontinued | $144.54 | $144.54 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $537.03 Typical High $630.96 | Professional | 54 · Surgery only | $537.03 | $537.03 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $107.15 Typical High $125.89 | Professional | 55 · Aftercare only | $107.15 | $107.15 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $72.44 Typical High $83.18 | Professional | 56 · Pre-op care only | $72.44 | $72.44 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $501.19 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $501.19 | $501.19 | $588.84 |
Ambetter Setting Professional Modifier 58 · Staged procedure Typical Low $501.19 Median $1,023.29 Typical High $1,023.29 | Professional | 58 · Staged procedure | $501.19 | $1,023.29 | $1,023.29 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $363.08 Median $467.74 Typical High $724.44 | Professional | 51 · Multiple procedures | $363.08 | $467.74 | $724.44 |
Where South Carolina sits
The same service costs 4.6 times more in Alaska than in Texas. 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· 30th of 51
$832
AK $2,692TX $589
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.