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 $51.29 Median $4,897.79 Typical High $21,877.62 | Facility | None | $51.29 | $4,897.79 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $81.28 Typical High $95.50 | Professional | None | $51.29 | $81.28 | $95.50 |
BCBS South Carolina Setting Facility Modifier None Typical Low $575.44 Median $1,000.00 Typical High $1,778.28 | Facility | None | $575.44 | $1,000.00 | $1,778.28 |
BCBS South Carolina Setting Professional Modifier None Typical Low $37.15 Median $95.50 Typical High $181.97 | Professional | None | $37.15 | $95.50 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $114.82 Typical High $707.95 | Facility | None | $52.48 | $114.82 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $128.82 Typical High $186.21 | Professional | None | $95.50 | $128.82 | $186.21 |
Medcost Setting Facility Modifier None Typical Low $69.18 Median $120.23 Typical High $144.54 | Facility | None | $69.18 | $120.23 | $144.54 |
Medcost Setting Professional Modifier None Typical Low $91.20 Median $169.82 Typical High $229.09 | Professional | None | $91.20 | $169.82 | $229.09 |
Molina Setting Professional Modifier None Typical Low $64.57 Median $79.43 Typical High $117.49 | Professional | None | $64.57 | $79.43 | $117.49 |
United Setting Facility Modifier None Typical Low $302.00 Median $1,122.02 Typical High $6,025.60 | Facility | None | $302.00 | $1,122.02 | $6,025.60 |
United Setting Professional Modifier None Typical Low $38.90 Median $87.10 Typical High $204.17 | Professional | None | $38.90 | $87.10 | $204.17 |
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 $25.70 Median $34.67 Typical High $46.77 | Professional | 52 · Reduced service | $25.70 | $34.67 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $13.80 Typical High $18.62 | Professional | 53 · Discontinued | $10.23 | $13.80 | $18.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $38.02 Median $51.29 Typical High $70.79 | Professional | 54 · Surgery only | $38.02 | $51.29 | $70.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $10.47 Typical High $14.13 | Professional | 55 · Aftercare only | $7.59 | $10.47 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $6.92 Typical High $9.33 | Professional | 56 · Pre-op care only | $5.13 | $6.92 | $9.33 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $173.78 Median $257.04 Typical High $346.74 | Professional | 50 · Both sides | $173.78 | $257.04 | $346.74 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $57.54 Median $85.11 Typical High $114.82 | Professional | 51 · Multiple procedures | $57.54 | $85.11 | $114.82 |
Where South Carolina sits
The same service costs 3.2 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· 26th of 51
$97.72
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.