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 $83.18 Median $83.18 Typical High $112.20 | Facility | None | $83.18 | $83.18 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $107.15 Typical High $112.20 | Professional | None | $83.18 | $107.15 | $112.20 |
Ambetter Setting Professional Modifier None Typical Low $97.72 Median $114.82 Typical High $181.97 | Professional | None | $97.72 | $114.82 | $181.97 |
BCBS South Carolina Setting Facility Modifier None Typical Low $24.55 Median $48.98 Typical High $67.61 | Facility | None | $24.55 | $48.98 | $67.61 |
BCBS South Carolina Setting Professional Modifier None Typical Low $77.62 Median $93.33 Typical High $102.33 | Professional | None | $77.62 | $93.33 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $85.11 Typical High $134.90 | Professional | None | $75.86 | $85.11 | $134.90 |
Medcost Setting Professional Modifier None Typical Low $91.20 Median $112.20 Typical High $213.80 | Professional | None | $91.20 | $112.20 | $213.80 |
Medcost Setting Facility Modifier None Typical Low $83.18 Median $102.33 Typical High $134.90 | Facility | None | $83.18 | $102.33 | $134.90 |
Medcost Setting Professional Modifier None Typical Low $54.95 Median $100.00 Typical High $141.25 | Professional | None | $54.95 | $100.00 | $141.25 |
Molina Setting Professional Modifier None Typical Low $53.70 Median $87.10 Typical High $120.23 | Professional | None | $53.70 | $87.10 | $120.23 |
United Setting Professional Modifier None Typical Low $63.10 Median $85.11 Typical High $123.03 | Professional | None | $63.10 | $85.11 | $123.03 |
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 $41.69 Median $43.65 Typical High $56.23 | Professional | 52 · Reduced service | $41.69 | $43.65 | $56.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $13.18 Typical High $16.60 | Professional | 55 · Aftercare only | $12.30 | $13.18 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $8.51 Typical High $11.22 | Professional | 56 · Pre-op care only | $8.32 | $8.51 | $11.22 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $97.72 Median $109.65 Typical High $125.89 | Professional | 25 · Same-day visit | $97.72 | $109.65 | $125.89 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | GC · Resident with teaching physician | $208.93 | $208.93 | $208.93 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $34.67 Median $54.95 Typical High $54.95 | Professional | 29 | $34.67 | $54.95 | $54.95 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $27.54 Median $50.12 Typical High $81.28 | Professional | 51 · Multiple procedures | $27.54 | $50.12 | $81.28 |
Where South Carolina sits
The same service costs 2.7 times more in Alaska than in Washington, DC. 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· 44th of 51
$93.33
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.