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 $48.98 Median $89.13 Typical High $21,877.62 | Facility | None | $48.98 | $89.13 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $72.44 Typical High $89.13 | Professional | None | $48.98 | $72.44 | $89.13 |
BCBS South Carolina Setting Facility Modifier None Typical Low $169.82 Median $288.40 Typical High $501.19 | Facility | None | $169.82 | $288.40 | $501.19 |
BCBS South Carolina Setting Professional Modifier None Typical Low $34.67 Median $51.29 Typical High $79.43 | Professional | None | $34.67 | $51.29 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $77.62 Typical High $794.33 | Facility | None | $52.48 | $77.62 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $83.18 Typical High $141.25 | Professional | None | $45.71 | $83.18 | $141.25 |
Medcost Setting Facility Modifier None Typical Low $44.67 Median $72.44 Typical High $97.72 | Facility | None | $44.67 | $72.44 | $97.72 |
Medcost Setting Professional Modifier None Typical Low $69.18 Median $93.33 Typical High $107.15 | Professional | None | $69.18 | $93.33 | $107.15 |
Molina Setting Professional Modifier None Typical Low $95.50 Median $138.04 Typical High $190.55 | Professional | None | $95.50 | $138.04 | $190.55 |
United Setting Facility Modifier None Typical Low $83.18 Median $446.68 Typical High $2,238.72 | Facility | None | $83.18 | $446.68 | $2,238.72 |
United Setting Professional Modifier None Typical Low $39.81 Median $69.18 Typical High $123.03 | Professional | None | $39.81 | $69.18 | $123.03 |
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 $24.55 Median $26.92 Typical High $44.67 | Professional | 52 · Reduced service | $24.55 | $26.92 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $10.72 Typical High $17.78 | Professional | 53 · Discontinued | $9.77 | $10.72 | $17.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $36.31 Median $39.81 Typical High $67.61 | Professional | 54 · Surgery only | $36.31 | $39.81 | $67.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $7.94 Typical High $13.49 | Professional | 55 · Aftercare only | $7.24 | $7.94 | $13.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $5.37 Typical High $8.91 | Professional | 56 · Pre-op care only | $4.90 | $5.37 | $8.91 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $36.31 Median $48.98 Typical High $64.57 | Professional | 51 · Multiple procedures | $36.31 | $48.98 | $64.57 |
Where South Carolina sits
The same service costs 3.4 times more in Wisconsin 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· 21st of 51
$89.13
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.