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 $39.81 Median $39.81 Typical High $60.26 | Facility | None | $39.81 | $39.81 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $43.65 Typical High $60.26 | Professional | None | $38.90 | $43.65 | $60.26 |
BCBS South Carolina Setting Facility Modifier None Typical Low $169.82 Median $288.40 Typical High $512.86 | Facility | None | $169.82 | $288.40 | $512.86 |
BCBS South Carolina Setting Professional Modifier None Typical Low $30.20 Median $36.31 Typical High $60.26 | Professional | None | $30.20 | $36.31 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $77.62 Typical High $794.33 | Facility | None | $52.48 | $77.62 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $56.23 Typical High $85.11 | Professional | None | $37.15 | $56.23 | $85.11 |
Medcost Setting Facility Modifier None Typical Low $33.11 Median $51.29 Typical High $67.61 | Facility | None | $33.11 | $51.29 | $67.61 |
Medcost Setting Professional Modifier None Typical Low $52.48 Median $60.26 Typical High $74.13 | Professional | None | $52.48 | $60.26 | $74.13 |
Molina Setting Professional Modifier None Typical Low $64.57 Median $79.43 Typical High $117.49 | Professional | None | $64.57 | $79.43 | $117.49 |
United Setting Facility Modifier None Typical Low $83.18 Median $380.19 Typical High $2,238.72 | Facility | None | $83.18 | $380.19 | $2,238.72 |
United Setting Professional Modifier None Typical Low $28.84 Median $45.71 Typical High $77.62 | Professional | None | $28.84 | $45.71 | $77.62 |
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 $19.95 Median $21.88 Typical High $30.20 | Professional | 52 · Reduced service | $19.95 | $21.88 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $8.71 Typical High $12.30 | Professional | 53 · Discontinued | $7.94 | $8.71 | $12.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $6.61 Typical High $9.12 | Professional | 55 · Aftercare only | $6.03 | $6.61 | $9.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $4.37 Typical High $6.03 | Professional | 56 · Pre-op care only | $3.98 | $4.37 | $6.03 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $79.43 Median $112.20 Typical High $141.25 | Professional | 50 · Both sides | $79.43 | $112.20 | $141.25 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $26.30 Median $37.15 Typical High $46.77 | Professional | 51 · Multiple procedures | $26.30 | $37.15 | $46.77 |
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· 28th of 51
$56.23
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.