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 $56.23 Median $87.10 Typical High $21,877.62 | Facility | None | $56.23 | $87.10 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $72.44 Typical High $87.10 | Professional | None | $56.23 | $72.44 | $87.10 |
BCBS South Carolina Setting Facility Modifier None Typical Low $169.82 Median $295.12 Typical High $512.86 | Facility | None | $169.82 | $295.12 | $512.86 |
BCBS South Carolina Setting Professional Modifier None Typical Low $40.74 Median $53.70 Typical High $77.62 | Professional | None | $40.74 | $53.70 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $75.86 Typical High $151.36 | Facility | None | $66.07 | $75.86 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $77.62 Typical High $123.03 | Professional | None | $54.95 | $77.62 | $123.03 |
Medcost Setting Facility Modifier None Typical Low $54.95 Median $87.10 Typical High $117.49 | Facility | None | $54.95 | $87.10 | $117.49 |
Medcost Setting Professional Modifier None Typical Low $77.62 Median $87.10 Typical High $102.33 | Professional | None | $77.62 | $87.10 | $102.33 |
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 $42.66 Median $67.61 Typical High $109.65 | Professional | None | $42.66 | $67.61 | $109.65 |
7 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 $28.18 Median $32.36 Typical High $43.65 | Professional | 52 · Reduced service | $28.18 | $32.36 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $12.88 Typical High $17.38 | Professional | 53 · Discontinued | $11.22 | $12.88 | $17.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $41.69 Median $47.86 Typical High $64.57 | Professional | 54 · Surgery only | $41.69 | $47.86 | $64.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $9.77 Typical High $12.88 | Professional | 55 · Aftercare only | $8.51 | $9.77 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $6.46 Typical High $8.71 | Professional | 56 · Pre-op care only | $5.62 | $6.46 | $8.71 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $117.49 Median $134.90 Typical High $199.53 | Professional | 50 · Both sides | $117.49 | $134.90 | $199.53 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $38.90 Median $44.67 Typical High $67.61 | Professional | 51 · Multiple procedures | $38.90 | $44.67 | $67.61 |
Where South Carolina sits
The same service costs 3.6 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
$77.62
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.