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 $32.36 Median $4,897.79 Typical High $21,877.62 | Facility | None | $32.36 | $4,897.79 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $38.02 Typical High $52.48 | Professional | None | $30.90 | $38.02 | $52.48 |
Ambetter Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
BCBS South Carolina Setting Facility Modifier None Typical Low $223.87 Median $512.86 Typical High $724.44 | Facility | None | $223.87 | $512.86 | $724.44 |
BCBS South Carolina Setting Professional Modifier None Typical Low $24.55 Median $38.02 Typical High $60.26 | Professional | None | $24.55 | $38.02 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $851.14 Typical High $1,995.26 | Facility | None | $416.87 | $851.14 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $42.66 Typical High $74.13 | Professional | None | $32.36 | $42.66 | $74.13 |
Medcost Setting Facility Modifier None Typical Low $17.78 Median $28.84 Typical High $46.77 | Facility | None | $17.78 | $28.84 | $46.77 |
Medcost Setting Professional Modifier None Typical Low $38.02 Median $53.70 Typical High $75.86 | Professional | None | $38.02 | $53.70 | $75.86 |
Molina Setting Professional Modifier None Typical Low $64.57 Median $89.13 Typical High $125.89 | Professional | None | $64.57 | $89.13 | $125.89 |
United Setting Facility Modifier None Typical Low $83.18 Median $426.58 Typical High $2,238.72 | Facility | None | $83.18 | $426.58 | $2,238.72 |
United Setting Professional Modifier None Typical Low $28.84 Median $41.69 Typical High $74.13 | Professional | None | $28.84 | $41.69 | $74.13 |
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 $15.49 Median $16.22 Typical High $21.38 | Professional | 52 · Reduced service | $15.49 | $16.22 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.46 Typical High $8.51 | Professional | 53 · Discontinued | $6.17 | $6.46 | $8.51 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $22.91 Median $24.55 Typical High $31.62 | Professional | 54 · Surgery only | $22.91 | $24.55 | $31.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.57 Median $4.90 Typical High $6.31 | Professional | 55 · Aftercare only | $4.57 | $4.90 | $6.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.09 Median $3.24 Typical High $4.27 | Professional | 56 · Pre-op care only | $3.09 | $3.24 | $4.27 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $23.99 Median $28.18 Typical High $37.15 | Professional | 51 · Multiple procedures | $23.99 | $28.18 | $37.15 |
Where South Carolina sits
The same service costs 3.3 times more in Alaska 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· 26th of 51
$48.98
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.