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 $10,000.00 Typical High $21,877.62 | Facility | None | $416.87 | $10,000.00 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $416.87 Typical High $416.87 | Professional | None | $331.13 | $416.87 | $416.87 |
BCBS South Carolina Setting Facility Modifier None Typical Low $851.14 Median $3,388.44 Typical High $10,471.29 | Facility | None | $851.14 | $3,388.44 | $10,471.29 |
BCBS South Carolina Setting Professional Modifier None Typical Low $295.12 Median $489.78 Typical High $676.08 | Professional | None | $295.12 | $489.78 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,905.46 Typical High $2,630.27 | Facility | None | $602.56 | $1,905.46 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $446.68 Typical High $741.31 | Professional | None | $389.05 | $446.68 | $741.31 |
Medcost Setting Facility Modifier None Typical Low $389.05 Median $741.31 Typical High $1,698.24 | Facility | None | $389.05 | $741.31 | $1,698.24 |
Medcost Setting Professional Modifier None Typical Low $389.05 Median $478.63 Typical High $549.54 | Professional | None | $389.05 | $478.63 | $549.54 |
Molina Setting Professional Modifier None Typical Low $295.12 Median $426.58 Typical High $588.84 | Professional | None | $295.12 | $426.58 | $588.84 |
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 $331.13 Median $457.09 Typical High $741.31 | Professional | None | $331.13 | $457.09 | $741.31 |
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 $165.96 Median $208.93 Typical High $208.93 | Professional | 52 · Reduced service | $165.96 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $83.18 Typical High $83.18 | Professional | 53 · Discontinued | $66.07 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $309.03 Typical High $309.03 | Professional | 54 · Surgery only | $251.19 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $63.10 Typical High $63.10 | Professional | 55 · Aftercare only | $50.12 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $41.69 Typical High $41.69 | Professional | 56 · Pre-op care only | $33.11 | $41.69 | $41.69 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $676.08 Median $724.44 Typical High $977.24 | Professional | 50 · Both sides | $676.08 | $724.44 | $977.24 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $223.87 Median $245.47 Typical High $323.59 | Professional | 51 · Multiple procedures | $223.87 | $245.47 | $323.59 |
Where South Carolina sits
The same service costs 4.7 times more in Alaska than in New York. 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· 34th of 51
$501
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.