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 $204.17 Median $10,964.78 Typical High $21,877.62 | Facility | None | $204.17 | $10,964.78 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $2,344.23 Typical High $3,019.95 | Professional | None | $186.21 | $2,344.23 | $3,019.95 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,548.82 Median $2,137.96 Typical High $3,235.94 | Facility | None | $1,548.82 | $2,137.96 | $3,235.94 |
BCBS South Carolina Setting Professional Modifier None Typical Low $141.25 Median $2,187.76 Typical High $2,238.72 | Professional | None | $141.25 | $2,187.76 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $4,570.88 Typical High $6,456.54 | Facility | None | $602.56 | $4,570.88 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $457.09 Typical High $4,570.88 | Professional | None | $208.93 | $457.09 | $4,570.88 |
Medcost Setting Facility Modifier None Typical Low $204.17 Median $3,019.95 Typical High $5,623.41 | Facility | None | $204.17 | $3,019.95 | $5,623.41 |
Medcost Setting Professional Modifier None Typical Low $2,691.53 Median $3,311.31 Typical High $3,981.07 | Professional | None | $2,691.53 | $3,311.31 | $3,981.07 |
Molina Setting Professional Modifier None Typical Low $2,238.72 Median $3,467.37 Typical High $4,570.88 | Professional | None | $2,238.72 | $3,467.37 | $4,570.88 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $4,265.80 Typical High $24,547.09 | Facility | None | $1,445.44 | $4,265.80 | $24,547.09 |
United Setting Professional Modifier None Typical Low $169.82 Median $2,238.72 Typical High $5,370.32 | Professional | None | $169.82 | $2,238.72 | $5,370.32 |
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 $100.00 Median $102.33 Typical High $1,513.56 | Professional | 52 · Reduced service | $100.00 | $102.33 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $41.69 Typical High $602.56 | Professional | 53 · Discontinued | $40.74 | $41.69 | $602.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $154.88 Typical High $2,238.72 | Professional | 54 · Surgery only | $151.36 | $154.88 | $2,238.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $30.90 Typical High $457.09 | Professional | 55 · Aftercare only | $30.20 | $30.90 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $20.89 Typical High $302.00 | Professional | 56 · Pre-op care only | $20.42 | $20.89 | $302.00 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,621.81 Median $1,659.59 Typical High $2,344.23 | Professional | 51 · Multiple procedures | $1,621.81 | $1,659.59 | $2,344.23 |
Where South Carolina sits
The same service costs 33.1 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· 21st of 51
$2,570
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.