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 $100.00 Median $4,897.79 Typical High $21,877.62 | Facility | None | $100.00 | $4,897.79 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $165.96 Typical High $239.88 | Professional | None | $97.72 | $165.96 | $239.88 |
BCBS South Carolina Setting Facility Modifier None Typical Low $512.86 Median $1,202.26 Typical High $3,801.89 | Facility | None | $512.86 | $1,202.26 | $3,801.89 |
BCBS South Carolina Setting Professional Modifier None Typical Low $77.62 Median $141.25 Typical High $223.87 | Professional | None | $77.62 | $141.25 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $1,479.11 Typical High $2,187.76 | Facility | None | $457.09 | $1,479.11 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $151.36 Typical High $257.04 | Professional | None | $83.18 | $151.36 | $257.04 |
Medcost Setting Professional Modifier None Typical Low $154.88 Median $165.96 Typical High $489.78 | Professional | None | $154.88 | $165.96 | $489.78 |
Medcost Setting Facility Modifier None Typical Low $97.72 Median $436.52 Typical High $630.96 | Facility | None | $97.72 | $436.52 | $630.96 |
Medcost Setting Professional Modifier None Typical Low $144.54 Median $218.78 Typical High $229.09 | Professional | None | $144.54 | $218.78 | $229.09 |
Molina Setting Professional Modifier None Typical Low $181.97 Median $239.88 Typical High $363.08 | Professional | None | $181.97 | $239.88 | $363.08 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,479.11 Typical High $8,912.51 | Facility | None | $512.86 | $1,479.11 | $8,912.51 |
United Setting Professional Modifier None Typical Low $70.79 Median $141.25 Typical High $229.09 | Professional | None | $70.79 | $141.25 | $229.09 |
7 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 $48.98 Median $83.18 Typical High $120.23 | Professional | 52 · Reduced service | $48.98 | $83.18 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $33.11 Typical High $47.86 | Professional | 53 · Discontinued | $19.50 | $33.11 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $72.44 Median $123.03 Typical High $177.83 | Professional | 54 · Surgery only | $72.44 | $123.03 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $25.12 Typical High $36.31 | Professional | 55 · Aftercare only | $14.45 | $25.12 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $16.60 Typical High $23.99 | Professional | 56 · Pre-op care only | $9.77 | $16.60 | $23.99 |
Ambetter Setting Professional Modifier 33 · Preventive service Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 33 · Preventive service | $83.18 | $83.18 | $83.18 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $70.79 Median $109.65 Typical High $144.54 | Professional | 51 · Multiple procedures | $70.79 | $109.65 | $144.54 |
Where South Carolina sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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
$174
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.