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 $173.78 Median $4,897.79 Typical High $21,877.62 | Facility | None | $173.78 | $4,897.79 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $269.15 Typical High $380.19 | Professional | None | $173.78 | $269.15 | $380.19 |
BCBS South Carolina Setting Facility Modifier None Typical Low $645.65 Median $691.83 Typical High $794.33 | Facility | None | $645.65 | $691.83 | $794.33 |
BCBS South Carolina Setting Professional Modifier None Typical Low $128.82 Median $263.03 Typical High $363.08 | Professional | None | $128.82 | $263.03 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $346.74 Typical High $512.86 | Professional | None | $190.55 | $346.74 | $512.86 |
Medcost Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
Medcost Setting Facility Modifier None Typical Low $173.78 Median $302.00 Typical High $512.86 | Facility | None | $173.78 | $302.00 | $512.86 |
Medcost Setting Professional Modifier None Typical Low $323.59 Median $407.38 Typical High $489.78 | Professional | None | $323.59 | $407.38 | $489.78 |
Molina Setting Professional Modifier None Typical Low $331.13 Median $436.52 Typical High $630.96 | Professional | None | $331.13 | $436.52 | $630.96 |
United Setting Facility Modifier None Typical Low $446.68 Median $1,621.81 Typical High $2,951.21 | Facility | None | $446.68 | $1,621.81 | $2,951.21 |
United Setting Professional Modifier None Typical Low $154.88 Median $309.03 Typical High $562.34 | Professional | None | $154.88 | $309.03 | $562.34 |
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 $87.10 Median $131.83 Typical High $186.21 | Professional | 52 · Reduced service | $87.10 | $131.83 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $52.48 Typical High $75.86 | Professional | 53 · Discontinued | $34.67 | $52.48 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $199.53 Typical High $281.84 | Professional | 54 · Surgery only | $128.82 | $199.53 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $39.81 Typical High $56.23 | Professional | 55 · Aftercare only | $25.70 | $39.81 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $26.30 Typical High $38.02 | Professional | 56 · Pre-op care only | $17.38 | $26.30 | $38.02 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $165.96 Median $229.09 Typical High $323.59 | Professional | 51 · Multiple procedures | $165.96 | $229.09 | $323.59 |
Where South Carolina sits
The same service costs 3.5 times more in Alaska than in Virginia. 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
$339
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.