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 $1,122.02 Median $9,120.11 Typical High $22,908.68 | Facility | None | $1,122.02 | $9,120.11 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $1,122.02 Typical High $1,122.02 | Professional | None | $812.83 | $1,122.02 | $1,122.02 |
BCBS South Carolina Setting Professional Modifier None Typical Low $724.44 Median $954.99 Typical High $1,230.27 | Professional | None | $724.44 | $954.99 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $794.33 Typical High $1,905.46 | Facility | None | $100.00 | $794.33 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,288.25 Typical High $2,041.74 | Professional | None | $851.14 | $1,288.25 | $2,041.74 |
Medcost Setting Facility Modifier None Typical Low $851.14 Median $1,122.02 Typical High $2,187.76 | Facility | None | $851.14 | $1,122.02 | $2,187.76 |
Medcost Setting Professional Modifier None Typical Low $1,047.13 Median $1,096.48 Typical High $1,380.38 | Professional | None | $1,047.13 | $1,096.48 | $1,380.38 |
Molina Setting Professional Modifier None Typical Low $758.58 Median $1,122.02 Typical High $1,548.82 | Professional | None | $758.58 | $1,122.02 | $1,548.82 |
United Setting Facility Modifier None Typical Low $416.87 Median $1,258.93 Typical High $8,709.64 | Facility | None | $416.87 | $1,258.93 | $8,709.64 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,445.44 Typical High $2,511.89 | Professional | None | $812.83 | $1,445.44 | $2,511.89 |
1 more rate 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 54 · Surgery only Typical Low $602.56 Median $851.14 Typical High $851.14 | Professional | 54 · Surgery only | $602.56 | $851.14 | $851.14 |
Where South Carolina sits
The same service costs 3.7 times more in Alaska than in New York. 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
$1,122
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.