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 $263.03 Median $4,897.79 Typical High $21,877.62 | Facility | None | $263.03 | $4,897.79 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $269.15 Typical High $338.84 | Professional | None | $251.19 | $269.15 | $338.84 |
BCBS South Carolina Setting Facility Modifier None Typical Low $891.25 Median $1,513.56 Typical High $2,691.53 | Facility | None | $891.25 | $1,513.56 | $2,691.53 |
BCBS South Carolina Setting Professional Modifier None Typical Low $162.18 Median $295.12 Typical High $407.38 | Professional | None | $162.18 | $295.12 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $389.05 Typical High $707.95 | Facility | None | $186.21 | $389.05 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $269.15 Typical High $457.09 | Professional | None | $181.97 | $269.15 | $457.09 |
Medcost Setting Facility Modifier None Typical Low $208.93 Median $281.84 Typical High $371.54 | Facility | None | $208.93 | $281.84 | $371.54 |
Medcost Setting Professional Modifier None Typical Low $309.03 Median $323.59 Typical High $371.54 | Professional | None | $309.03 | $323.59 | $371.54 |
Molina Setting Professional Modifier None Typical Low $257.04 Median $389.05 Typical High $501.19 | Professional | None | $257.04 | $389.05 | $501.19 |
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 $199.53 Median $275.42 Typical High $478.63 | Professional | None | $199.53 | $275.42 | $478.63 |
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 $128.82 Median $131.83 Typical High $169.82 | Professional | 52 · Reduced service | $128.82 | $131.83 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $67.61 | Professional | 53 · Discontinued | $52.48 | $52.48 | $67.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $194.98 Median $194.98 Typical High $257.04 | Professional | 54 · Surgery only | $194.98 | $194.98 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $39.81 Typical High $51.29 | Professional | 55 · Aftercare only | $38.90 | $39.81 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $26.30 Typical High $33.88 | Professional | 56 · Pre-op care only | $26.30 | $26.30 | $33.88 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $162.18 Median $169.82 Typical High $194.98 | Professional | 51 · Multiple procedures | $162.18 | $169.82 | $194.98 |
Where South Carolina sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 29th of 51
$324
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.