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 $120.23 Median $120.23 Typical High $162.18 | Facility | None | $120.23 | $120.23 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $123.03 Typical High $162.18 | Professional | None | $117.49 | $123.03 | $162.18 |
BCBS South Carolina Setting Facility Modifier None Typical Low $380.19 Median $660.69 Typical High $1,122.02 | Facility | None | $380.19 | $660.69 | $1,122.02 |
BCBS South Carolina Setting Professional Modifier None Typical Low $93.33 Median $120.23 Typical High $151.36 | Professional | None | $93.33 | $120.23 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $109.65 Typical High $173.78 | Facility | None | $75.86 | $109.65 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $154.88 Typical High $229.09 | Professional | None | $123.03 | $154.88 | $229.09 |
Medcost Setting Facility Modifier None Typical Low $97.72 Median $144.54 Typical High $177.83 | Facility | None | $97.72 | $144.54 | $177.83 |
Medcost Setting Professional Modifier None Typical Low $141.25 Median $162.18 Typical High $190.55 | Professional | None | $141.25 | $162.18 | $190.55 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $154.88 Typical High $229.09 | Professional | None | $128.82 | $154.88 | $229.09 |
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 $93.33 Median $134.90 Typical High $218.78 | Professional | None | $93.33 | $134.90 | $218.78 |
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 $60.26 Median $61.66 Typical High $81.28 | Professional | 52 · Reduced service | $60.26 | $61.66 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $24.55 Typical High $32.36 | Professional | 53 · Discontinued | $23.99 | $24.55 | $32.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $18.62 Typical High $24.55 | Professional | 55 · Aftercare only | $18.20 | $18.62 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $12.30 Typical High $16.22 | Professional | 56 · Pre-op care only | $12.02 | $12.30 | $16.22 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $213.80 Median $281.84 Typical High $380.19 | Professional | 50 · Both sides | $213.80 | $281.84 | $380.19 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $70.79 Median $93.33 Typical High $125.89 | Professional | 51 · Multiple procedures | $70.79 | $93.33 | $125.89 |
Where South Carolina sits
The same service costs 4.0 times more in Alaska than in Florida. 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· 33rd of 51
$145
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.