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 $151.36 Median $5,623.41 Typical High $21,877.62 | Facility | None | $151.36 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $229.09 Typical High $316.23 | Professional | None | $138.04 | $229.09 | $316.23 |
BCBS South Carolina Setting Facility Modifier None Typical Low $524.81 Median $831.76 Typical High $1,122.02 | Facility | None | $524.81 | $831.76 | $1,122.02 |
BCBS South Carolina Setting Professional Modifier None Typical Low $95.50 Median $213.80 Typical High $302.00 | Professional | None | $95.50 | $213.80 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $758.58 Typical High $1,174.90 | Facility | None | $602.56 | $758.58 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $194.98 Typical High $446.68 | Professional | None | $112.20 | $194.98 | $446.68 |
Medcost Setting Facility Modifier None Typical Low $123.03 Median $346.74 Typical High $851.14 | Facility | None | $123.03 | $346.74 | $851.14 |
Medcost Setting Professional Modifier None Typical Low $213.80 Median $275.42 Typical High $354.81 | Professional | None | $213.80 | $275.42 | $354.81 |
Molina Setting Professional Modifier None Typical Low $257.04 Median $380.19 Typical High $524.81 | Professional | None | $257.04 | $380.19 | $524.81 |
United Setting Facility Modifier None Typical Low $302.00 Median $1,122.02 Typical High $7,762.47 | Facility | None | $302.00 | $1,122.02 | $7,762.47 |
United Setting Professional Modifier None Typical Low $112.20 Median $223.87 Typical High $407.38 | Professional | None | $112.20 | $223.87 | $407.38 |
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 $69.18 Median $83.18 Typical High $158.49 | Professional | 52 · Reduced service | $69.18 | $83.18 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $33.11 Typical High $63.10 | Professional | 53 · Discontinued | $27.54 | $33.11 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $123.03 Typical High $239.88 | Professional | 54 · Surgery only | $102.33 | $123.03 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $24.55 Typical High $47.86 | Professional | 55 · Aftercare only | $20.42 | $24.55 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $16.60 Typical High $31.62 | Professional | 56 · Pre-op care only | $13.80 | $16.60 | $31.62 |
Where South Carolina sits
The same service costs 4.3 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· 17th of 51
$316
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.