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 $51.29 Median $51.29 Typical High $72.44 | Facility | None | $51.29 | $51.29 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $56.23 Typical High $72.44 | Professional | None | $51.29 | $56.23 | $72.44 |
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 $37.15 Median $63.10 Typical High $89.13 | Professional | None | $37.15 | $63.10 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $56.23 Typical High $131.83 | Facility | None | $43.65 | $56.23 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $72.44 Typical High $100.00 | Professional | None | $52.48 | $72.44 | $100.00 |
Medcost Setting Facility Modifier None Typical Low $41.69 Median $63.10 Typical High $79.43 | Facility | None | $41.69 | $63.10 | $79.43 |
Medcost Setting Professional Modifier None Typical Low $66.07 Median $75.86 Typical High $89.13 | Professional | None | $66.07 | $75.86 | $89.13 |
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 $446.68 Typical High $2,238.72 | Facility | None | $83.18 | $446.68 | $2,238.72 |
United Setting Professional Modifier None Typical Low $38.02 Median $58.88 Typical High $102.33 | Professional | None | $38.02 | $58.88 | $102.33 |
5 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 $25.12 Median $26.92 Typical High $36.31 | Professional | 52 · Reduced service | $25.12 | $26.92 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.72 Typical High $14.45 | Professional | 53 · Discontinued | $10.23 | $10.72 | $14.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $8.13 Typical High $10.96 | Professional | 55 · Aftercare only | $7.59 | $8.13 | $10.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $5.37 Typical High $7.24 | Professional | 56 · Pre-op care only | $5.13 | $5.37 | $7.24 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $33.11 Median $44.67 Typical High $56.23 | Professional | 51 · Multiple procedures | $33.11 | $44.67 | $56.23 |
Where South Carolina sits
The same service costs 3.5 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· 27th of 51
$69.18
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.