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 $70.79 Median $89.13 Typical High $147.91 | Facility | None | $70.79 | $89.13 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $89.13 Typical High $120.23 | Professional | None | $70.79 | $89.13 | $120.23 |
Ambetter Setting Professional Modifier None Typical Low $100.00 Median $112.20 Typical High $169.82 | Professional | None | $100.00 | $112.20 | $169.82 |
BCBS South Carolina Setting Facility Modifier None Typical Low $363.08 Median $616.60 Typical High $1,122.02 | Facility | None | $363.08 | $616.60 | $1,122.02 |
BCBS South Carolina Setting Professional Modifier None Typical Low $54.95 Median $60.26 Typical High $95.50 | Professional | None | $54.95 | $60.26 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $81.28 Typical High $151.36 | Facility | None | $74.13 | $81.28 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $97.72 Typical High $141.25 | Professional | None | $69.18 | $97.72 | $141.25 |
Medcost Setting Facility Modifier None Typical Low $64.57 Median $100.00 Typical High $125.89 | Facility | None | $64.57 | $100.00 | $125.89 |
Medcost Setting Professional Modifier None Typical Low $81.28 Median $100.00 Typical High $123.03 | Professional | None | $81.28 | $100.00 | $123.03 |
Molina Setting Professional Modifier None Typical Low $95.50 Median $117.49 Typical High $173.78 | Professional | None | $95.50 | $117.49 | $173.78 |
United Setting Facility Modifier None Typical Low $83.18 Median $446.68 Typical High $2,238.72 | Facility | None | $83.18 | $446.68 | $2,238.72 |
United Setting Professional Modifier None Typical Low $52.48 Median $79.43 Typical High $134.90 | Professional | None | $52.48 | $79.43 | $134.90 |
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 $35.48 Median $37.15 Typical High $50.12 | Professional | 52 · Reduced service | $35.48 | $37.15 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.79 Typical High $19.95 | Professional | 53 · Discontinued | $14.13 | $14.79 | $19.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $11.22 Typical High $14.79 | Professional | 55 · Aftercare only | $10.72 | $11.22 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.41 Typical High $10.00 | Professional | 56 · Pre-op care only | $7.08 | $7.41 | $10.00 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $120.23 Median $154.88 Typical High $234.42 | Professional | 50 · Both sides | $120.23 | $154.88 | $234.42 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $40.74 Median $52.48 Typical High $77.62 | Professional | 51 · Multiple procedures | $40.74 | $52.48 | $77.62 |
Where South Carolina sits
The same service costs 3.7 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· 34th of 51
$91.20
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.