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 $109.65 Median $151.36 Typical High $21,877.62 | Facility | None | $109.65 | $151.36 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $117.49 Typical High $151.36 | Professional | None | $109.65 | $117.49 | $151.36 |
BCBS South Carolina Setting Facility Modifier None Typical Low $707.95 Median $1,348.96 Typical High $2,511.89 | Facility | None | $707.95 | $1,348.96 | $2,511.89 |
BCBS South Carolina Setting Professional Modifier None Typical Low $79.43 Median $128.82 Typical High $181.97 | Professional | None | $79.43 | $128.82 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $467.74 Typical High $794.33 | Facility | None | $389.05 | $467.74 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $151.36 Typical High $251.19 | Professional | None | $107.15 | $151.36 | $251.19 |
Medcost Setting Facility Modifier None Typical Low $109.65 Median $251.19 Typical High $398.11 | Facility | None | $109.65 | $251.19 | $398.11 |
Medcost Setting Professional Modifier None Typical Low $141.25 Median $177.83 Typical High $208.93 | Professional | None | $141.25 | $177.83 | $208.93 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $181.97 Typical High $251.19 | Professional | None | $128.82 | $181.97 | $251.19 |
United Setting Facility Modifier None Typical Low $302.00 Median $1,122.02 Typical High $6,025.60 | Facility | None | $302.00 | $1,122.02 | $6,025.60 |
United Setting Professional Modifier None Typical Low $91.20 Median $141.25 Typical High $239.88 | Professional | None | $91.20 | $141.25 | $239.88 |
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 $54.95 Median $57.54 Typical High $75.86 | Professional | 52 · Reduced service | $54.95 | $57.54 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $22.91 Typical High $30.20 | Professional | 53 · Discontinued | $21.88 | $22.91 | $30.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $85.11 Typical High $114.82 | Professional | 54 · Surgery only | $83.18 | $85.11 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $17.38 Typical High $22.91 | Professional | 55 · Aftercare only | $16.60 | $17.38 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $11.48 Typical High $15.14 | Professional | 56 · Pre-op care only | $10.96 | $11.48 | $15.14 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $70.79 Median $93.33 Typical High $117.49 | Professional | 51 · Multiple procedures | $70.79 | $93.33 | $117.49 |
Where South Carolina sits
The same service costs 3.5 times more in Alaska than in Indiana. 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· 35th of 51
$155
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.