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 $27.54 Median $4,897.79 Typical High $21,877.62 | Facility | None | $27.54 | $4,897.79 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $29.51 Typical High $35.48 | Professional | None | $25.12 | $29.51 | $35.48 |
BCBS South Carolina Setting Facility Modifier None Typical Low $416.87 Median $660.69 Typical High $1,230.27 | Facility | None | $416.87 | $660.69 | $1,230.27 |
BCBS South Carolina Setting Professional Modifier None Typical Low $21.38 Median $32.36 Typical High $47.86 | Professional | None | $21.38 | $32.36 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $851.14 Typical High $1,905.46 | Facility | None | $549.54 | $851.14 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $36.31 Typical High $44.67 | Professional | None | $26.92 | $36.31 | $44.67 |
Medcost Setting Facility Modifier None Typical Low $27.54 Median $52.48 Typical High $81.28 | Facility | None | $27.54 | $52.48 | $81.28 |
Medcost Setting Professional Modifier None Typical Low $37.15 Median $43.65 Typical High $43.65 | Professional | None | $37.15 | $43.65 | $43.65 |
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 $21.38 Median $30.20 Typical High $60.26 | Professional | None | $21.38 | $30.20 | $60.26 |
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 $13.80 Median $13.80 Typical High $17.78 | Professional | 52 · Reduced service | $13.80 | $13.80 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.50 Typical High $7.08 | Professional | 53 · Discontinued | $5.50 | $5.50 | $7.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $20.42 Median $20.42 Typical High $26.30 | Professional | 54 · Surgery only | $20.42 | $20.42 | $26.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.07 Median $4.07 Typical High $5.37 | Professional | 55 · Aftercare only | $4.07 | $4.07 | $5.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.75 Median $2.75 Typical High $3.55 | Professional | 56 · Pre-op care only | $2.75 | $2.75 | $3.55 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $21.88 Median $21.88 Typical High $23.44 | Professional | 51 · Multiple procedures | $21.88 | $21.88 | $23.44 |
Where South Carolina sits
The same service costs 3.5 times more in Alaska than in New Jersey. 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· 24th of 51
$38.02
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.