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 $64.57 Median $4,897.79 Typical High $21,877.62 | Facility | None | $64.57 | $4,897.79 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $64.57 Typical High $74.13 | Professional | None | $57.54 | $64.57 | $74.13 |
BCBS South Carolina Setting Professional Modifier None Typical Low $43.65 Median $58.88 Typical High $85.11 | Professional | None | $43.65 | $58.88 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $70.79 Typical High $128.82 | Professional | None | $58.88 | $70.79 | $128.82 |
Medcost Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
Medcost Setting Facility Modifier None Typical Low $61.66 Median $74.13 Typical High $158.49 | Facility | None | $61.66 | $74.13 | $158.49 |
Medcost Setting Professional Modifier None Typical Low $66.07 Median $138.04 Typical High $616.60 | Professional | None | $66.07 | $138.04 | $616.60 |
Molina Setting Professional Modifier None Typical Low $67.61 Median $87.10 Typical High $125.89 | Professional | None | $67.61 | $87.10 | $125.89 |
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 $52.48 Median $70.79 Typical High $134.90 | Professional | None | $52.48 | $70.79 | $134.90 |
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 $28.84 Median $32.36 Typical High $37.15 | Professional | 52 · Reduced service | $28.84 | $32.36 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $12.88 Typical High $14.79 | Professional | 53 · Discontinued | $11.48 | $12.88 | $14.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $43.65 Median $48.98 Typical High $54.95 | Professional | 54 · Surgery only | $43.65 | $48.98 | $54.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $9.77 Typical High $10.96 | Professional | 55 · Aftercare only | $8.71 | $9.77 | $10.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $6.46 Typical High $7.41 | Professional | 56 · Pre-op care only | $5.75 | $6.46 | $7.41 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $114.82 Median $208.93 Typical High $912.01 | Professional | 50 · Both sides | $114.82 | $208.93 | $912.01 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $38.90 Median $69.18 Typical High $309.03 | Professional | 51 · Multiple procedures | $38.90 | $69.18 | $309.03 |
Where South Carolina sits
The same service costs 3.4 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· 35th of 51
$69.18
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.