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 $112.20 Median $4,897.79 Typical High $21,877.62 | Facility | None | $112.20 | $4,897.79 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $371.54 Typical High $512.86 | Professional | None | $102.33 | $371.54 | $512.86 |
BCBS South Carolina Setting Facility Modifier None Typical Low $478.63 Median $691.83 Typical High $1,258.93 | Facility | None | $478.63 | $691.83 | $1,258.93 |
BCBS South Carolina Setting Professional Modifier None Typical Low $72.44 Median $123.03 Typical High $426.58 | Professional | None | $72.44 | $123.03 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $602.56 Typical High $1,318.26 | Facility | None | $389.05 | $602.56 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $229.09 Typical High $707.95 | Professional | None | $117.49 | $229.09 | $707.95 |
Medcost Setting Facility Modifier None Typical Low $112.20 Median $338.84 Typical High $691.83 | Facility | None | $112.20 | $338.84 | $691.83 |
Medcost Setting Professional Modifier None Typical Low $426.58 Median $549.54 Typical High $588.84 | Professional | None | $426.58 | $549.54 | $588.84 |
Molina Setting Professional Modifier None Typical Low $354.81 Median $512.86 Typical High $691.83 | Professional | None | $354.81 | $512.86 | $691.83 |
United Setting Facility Modifier None Typical Low $302.00 Median $1,122.02 Typical High $6,309.57 | Facility | None | $302.00 | $1,122.02 | $6,309.57 |
United Setting Professional Modifier None Typical Low $91.20 Median $338.84 Typical High $794.33 | Professional | None | $91.20 | $338.84 | $794.33 |
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 $51.29 Median $70.79 Typical High $257.04 | Professional | 52 · Reduced service | $51.29 | $70.79 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $28.18 Typical High $102.33 | Professional | 53 · Discontinued | $20.42 | $28.18 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $77.62 Median $104.71 Typical High $380.19 | Professional | 54 · Surgery only | $77.62 | $104.71 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $20.89 Typical High $75.86 | Professional | 55 · Aftercare only | $15.49 | $20.89 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $14.13 Typical High $51.29 | Professional | 56 · Pre-op care only | $10.23 | $14.13 | $51.29 |
Where South Carolina sits
The same service costs 7.8 times more in Oklahoma 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· 32nd of 51
$427
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.