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 $5,370.32 Median $9,120.11 Typical High $22,908.68 | Facility | None | $5,370.32 | $9,120.11 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $3,981.07 Median $5,370.32 Typical High $5,370.32 | Professional | None | $3,981.07 | $5,370.32 | $5,370.32 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,513.56 Median $3,630.78 Typical High $7,079.46 | Facility | None | $1,513.56 | $3,630.78 | $7,079.46 |
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 $489.78 Median $6,456.54 Typical High $11,220.18 | Professional | None | $489.78 | $6,456.54 | $11,220.18 |
Medcost Setting Facility Modifier None Typical Low $3,090.30 Median $5,888.44 Typical High $7,244.36 | Facility | None | $3,090.30 | $5,888.44 | $7,244.36 |
Medcost Setting Professional Modifier None Typical Low $3,890.45 Median $5,248.07 Typical High $5,623.41 | Professional | None | $3,890.45 | $5,248.07 | $5,623.41 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
United Setting Facility Modifier None Typical Low $416.87 Median $1,288.25 Typical High $9,120.11 | Facility | None | $416.87 | $1,288.25 | $9,120.11 |
United Setting Professional Modifier None Typical Low $3,801.89 Median $4,786.30 Typical High $8,128.31 | Professional | None | $3,801.89 | $4,786.30 | $8,128.31 |
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 $1,995.26 Median $2,691.53 Typical High $2,691.53 | Professional | 52 · Reduced service | $1,995.26 | $2,691.53 | $2,691.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $794.33 Median $1,071.52 Typical High $1,071.52 | Professional | 53 · Discontinued | $794.33 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,951.21 Median $3,981.07 Typical High $3,981.07 | Professional | 54 · Surgery only | $2,951.21 | $3,981.07 | $3,981.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $588.84 Median $794.33 Typical High $794.33 | Professional | 55 · Aftercare only | $588.84 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $398.11 Median $537.03 Typical High $537.03 | Professional | 56 · Pre-op care only | $398.11 | $537.03 | $537.03 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $2,511.89 Median $2,630.27 Typical High $3,548.13 | Professional | 51 · Multiple procedures | $2,511.89 | $2,630.27 | $3,548.13 |
Where South Carolina sits
The same service costs 4.4 times more in Alaska than in Arkansas. 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· 37th of 51
$3,890
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.