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 $104.71 Typical High $21,877.62 | Facility | None | $51.29 | $104.71 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $87.10 Typical High $109.65 | Professional | None | $50.12 | $87.10 | $109.65 |
BCBS South Carolina Setting Facility Modifier None Typical Low $478.63 Median $851.14 Typical High $1,584.89 | Facility | None | $478.63 | $851.14 | $1,584.89 |
BCBS South Carolina Setting Professional Modifier None Typical Low $36.31 Median $75.86 Typical High $100.00 | Professional | None | $36.31 | $75.86 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $158.49 Typical High $707.95 | Facility | None | $72.44 | $158.49 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $102.33 Typical High $181.97 | Professional | None | $50.12 | $102.33 | $181.97 |
Medcost Setting Facility Modifier None Typical Low $51.29 Median $107.15 Typical High $125.89 | Facility | None | $51.29 | $107.15 | $125.89 |
Medcost Setting Professional Modifier None Typical Low $95.50 Median $123.03 Typical High $134.90 | Professional | None | $95.50 | $123.03 | $134.90 |
Molina Setting Professional Modifier None Typical Low $100.00 Median $144.54 Typical High $190.55 | Professional | None | $100.00 | $144.54 | $190.55 |
United Setting Facility Modifier None Typical Low $83.18 Median $446.68 Typical High $2,238.72 | Facility | None | $83.18 | $446.68 | $2,238.72 |
United Setting Professional Modifier None Typical Low $46.77 Median $93.33 Typical High $165.96 | Professional | None | $46.77 | $93.33 | $165.96 |
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 $25.12 Median $28.84 Typical High $52.48 | Professional | 52 · Reduced service | $25.12 | $28.84 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $11.48 Typical High $20.89 | Professional | 53 · Discontinued | $10.00 | $11.48 | $20.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $38.02 Median $42.66 Typical High $79.43 | Professional | 54 · Surgery only | $38.02 | $42.66 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $8.51 Typical High $15.85 | Professional | 55 · Aftercare only | $7.59 | $8.51 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.01 Median $5.75 Typical High $10.47 | Professional | 56 · Pre-op care only | $5.01 | $5.75 | $10.47 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $52.48 Median $63.10 Typical High $85.11 | Professional | 51 · Multiple procedures | $52.48 | $63.10 | $85.11 |
Where South Carolina sits
The same service costs 3.3 times more in Alaska than in Kentucky. 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· 18th of 51
$105
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.