How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $23.99 Median $23.99 Typical High $39.81 | Facility | None | $23.99 | $23.99 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $27.54 Typical High $39.81 | Professional | None | $23.99 | $27.54 | $39.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.02 Median $13.80 Typical High $19.95 | Professional | 52 · Reduced service | $12.02 | $13.80 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $5.62 Typical High $7.94 | Professional | 53 · Discontinued | $4.79 | $5.62 | $7.94 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.63 Median $4.17 Typical High $6.03 | Professional | 55 · Aftercare only | $3.63 | $4.17 | $6.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.40 Median $2.82 Typical High $3.98 | Professional | 56 · Pre-op care only | $2.40 | $2.82 | $3.98 |
BCBS South Carolina Setting Professional Modifier None Typical Low $29.51 Median $44.67 Typical High $44.67 | Professional | None | $29.51 | $44.67 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $33.88 Typical High $38.02 | Professional | None | $18.62 | $33.88 | $38.02 |
Medcost Setting Facility Modifier None Typical Low $23.99 Median $39.81 Typical High $63.10 | Facility | None | $23.99 | $39.81 | $63.10 |
Medcost Setting Professional Modifier None Typical Low $39.81 Median $44.67 Typical High $44.67 | Professional | None | $39.81 | $44.67 | $44.67 |
Molina Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $36.31 | Professional | None | $26.30 | $26.30 | $36.31 |
United Setting Professional Modifier None Typical Low $18.62 Median $26.92 Typical High $40.74 | Professional | None | $18.62 | $26.92 | $40.74 |
1 more rate 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $19.95 Median $22.39 Typical High $28.18 | Professional | 51 · Multiple procedures | $19.95 | $22.39 | $28.18 |
Where South Carolina sits
The same service costs 2.7 times more in Alaska than in New Jersey. 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· 34th of 51
$30.90
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.