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 $1,445.44 Median $5,888.44 Typical High $21,877.62 | Facility | None | $1,445.44 | $5,888.44 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,318.26 | $1,445.44 | $1,445.44 |
BCBS South Carolina Setting Facility Modifier None Typical Low $489.78 Median $794.33 Typical High $2,187.76 | Facility | None | $489.78 | $794.33 | $2,187.76 |
BCBS South Carolina Setting Professional Modifier None Typical Low $933.25 Median $954.99 Typical High $1,258.93 | Professional | None | $933.25 | $954.99 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $338.84 Typical High $588.84 | Facility | None | $75.86 | $338.84 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,047.13 Typical High $2,041.74 | Professional | None | $891.25 | $1,047.13 | $2,041.74 |
Medcost Setting Facility Modifier None Typical Low $251.19 Median $389.05 Typical High $1,584.89 | Facility | None | $251.19 | $389.05 | $1,584.89 |
Medcost Setting Professional Modifier None Typical Low $912.01 Median $1,318.26 Typical High $1,412.54 | Professional | None | $912.01 | $1,318.26 | $1,412.54 |
Molina Setting Professional Modifier None Typical Low $138.04 Median $812.83 Typical High $1,548.82 | Professional | None | $138.04 | $812.83 | $1,548.82 |
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 $954.99 Median $1,202.26 Typical High $2,089.30 | Professional | None | $954.99 | $1,202.26 | $2,089.30 |
4 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 54 · Surgery only Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | 54 · Surgery only | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,000.00 | $1,000.00 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,380.38 Median $1,995.26 Typical High $2,454.71 | Professional | 50 · Both sides | $1,380.38 | $1,995.26 | $2,454.71 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $457.09 Median $660.69 Typical High $812.83 | Professional | 51 · Multiple procedures | $457.09 | $660.69 | $812.83 |
Where South Carolina sits
The same service costs 6.3 times more in Wyoming than in Texas. 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· 46th of 51
$955
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.