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 $380.19 Median $9,120.11 Typical High $21,877.62 | Facility | None | $380.19 | $9,120.11 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $977.24 Typical High $1,318.26 | Professional | None | $323.59 | $977.24 | $1,318.26 |
Ambetter Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
BCBS South Carolina Setting Facility Modifier None Typical Low $851.14 Median $2,818.38 Typical High $10,964.78 | Facility | None | $851.14 | $2,818.38 | $10,964.78 |
BCBS South Carolina Setting Professional Modifier None Typical Low $239.88 Median $457.09 Typical High $1,621.81 | Professional | None | $239.88 | $457.09 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,041.74 Typical High $3,162.28 | Facility | None | $602.56 | $2,041.74 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $891.25 Typical High $2,187.76 | Professional | None | $380.19 | $891.25 | $2,187.76 |
Medcost Setting Facility Modifier None Typical Low $380.19 Median $1,548.82 Typical High $2,187.76 | Facility | None | $380.19 | $1,548.82 | $2,187.76 |
Medcost Setting Professional Modifier None Typical Low $1,288.25 Median $2,630.27 Typical High $3,162.28 | Professional | None | $1,288.25 | $2,630.27 | $3,162.28 |
Molina Setting Professional Modifier None Typical Low $933.25 Median $1,380.38 Typical High $1,862.09 | Professional | None | $933.25 | $1,380.38 | $1,862.09 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $3,311.31 Typical High $18,197.01 | Facility | None | $1,023.29 | $3,311.31 | $18,197.01 |
United Setting Professional Modifier None Typical Low $288.40 Median $933.25 Typical High $2,951.21 | Professional | None | $288.40 | $933.25 | $2,951.21 |
3 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 54 · Surgery only Typical Low $251.19 Median $309.03 Typical High $1,000.00 | Professional | 54 · Surgery only | $251.19 | $309.03 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $63.10 Typical High $199.53 | Professional | 55 · Aftercare only | $50.12 | $63.10 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $41.69 Typical High $131.83 | Professional | 56 · Pre-op care only | $33.88 | $41.69 | $131.83 |
Where South Carolina sits
The same service costs 4.8 times more in Alaska than in Nebraska. 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· 22nd of 51
$1,318
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.