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 $416.87 Median $5,888.44 Typical High $21,877.62 | Facility | None | $416.87 | $5,888.44 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $416.87 Typical High $416.87 | Professional | None | $346.74 | $416.87 | $416.87 |
BCBS South Carolina Setting Facility Modifier None Typical Low $676.08 Median $870.96 Typical High $8,317.64 | Facility | None | $676.08 | $870.96 | $8,317.64 |
BCBS South Carolina Setting Professional Modifier None Typical Low $302.00 Median $467.74 Typical High $630.96 | Professional | None | $302.00 | $467.74 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,000.00 Typical High $1,621.81 | Facility | None | $602.56 | $1,000.00 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $446.68 Typical High $630.96 | Professional | None | $426.58 | $446.68 | $630.96 |
Medcost Setting Professional Modifier None Typical Low $549.54 Median $588.84 Typical High $812.83 | Professional | None | $549.54 | $588.84 | $812.83 |
Medcost Setting Facility Modifier None Typical Low $416.87 Median $676.08 Typical High $1,479.11 | Facility | None | $416.87 | $676.08 | $1,479.11 |
Medcost Setting Professional Modifier None Typical Low $407.38 Median $537.03 Typical High $724.44 | Professional | None | $407.38 | $537.03 | $724.44 |
Molina Setting Professional Modifier None Typical Low $281.84 Median $371.54 Typical High $575.44 | Professional | None | $281.84 | $371.54 | $575.44 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,511.89 Typical High $14,791.08 | Facility | None | $851.14 | $2,511.89 | $14,791.08 |
United Setting Professional Modifier None Typical Low $302.00 Median $389.05 Typical High $741.31 | Professional | None | $302.00 | $389.05 | $741.31 |
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 $173.78 Median $208.93 Typical High $208.93 | Professional | 52 · Reduced service | $173.78 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $83.18 Typical High $83.18 | Professional | 53 · Discontinued | $69.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $316.23 Typical High $316.23 | Professional | 54 · Surgery only | $263.03 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $63.10 Typical High $63.10 | Professional | 55 · Aftercare only | $52.48 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $41.69 Typical High $41.69 | Professional | 56 · Pre-op care only | $34.67 | $41.69 | $41.69 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $245.47 Median $269.15 Typical High $371.54 | Professional | 51 · Multiple procedures | $245.47 | $269.15 | $371.54 |
Where South Carolina sits
The same service costs 4.8 times more in Alaska than in Utah. 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· 33rd of 51
$447
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.