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 $72.44 Median $72.44 Typical High $85.11 | Facility | None | $72.44 | $72.44 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $75.86 Typical High $85.11 | Professional | None | $72.44 | $75.86 | $85.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $35.48 Typical High $42.66 | Professional | 52 · Reduced service | $35.48 | $35.48 | $42.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $10.72 Typical High $12.88 | Professional | 55 · Aftercare only | $10.72 | $10.72 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.24 Typical High $8.51 | Professional | 56 · Pre-op care only | $7.08 | $7.24 | $8.51 |
Ambetter Setting Professional Modifier None Typical Low $64.57 Median $120.23 Typical High $154.88 | Professional | None | $64.57 | $120.23 | $154.88 |
BCBS South Carolina Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $44.67 Median $74.13 Typical High $100.00 | Professional | 29 | $44.67 | $74.13 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $79.43 Typical High $112.20 | Professional | None | $64.57 | $79.43 | $112.20 |
Medcost Setting Professional Modifier None Typical Low $93.33 Median $114.82 Typical High $162.18 | Professional | None | $93.33 | $114.82 | $162.18 |
Medcost Setting Facility Modifier None Typical Low $72.44 Median $85.11 Typical High $102.33 | Facility | None | $72.44 | $85.11 | $102.33 |
Medcost Setting Professional Modifier None Typical Low $87.10 Median $100.00 Typical High $120.23 | Professional | None | $87.10 | $100.00 | $120.23 |
Molina Setting Professional Modifier None Typical Low $45.71 Median $66.07 Typical High $89.13 | Professional | None | $45.71 | $66.07 | $89.13 |
United Setting Professional Modifier None Typical Low $63.10 Median $77.62 Typical High $104.71 | Professional | None | $63.10 | $77.62 | $104.71 |
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 $43.65 Median $57.54 Typical High $61.66 | Professional | 51 · Multiple procedures | $43.65 | $57.54 | $61.66 |
Where South Carolina sits
The same service costs 2.9 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
$79.43
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.