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 $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $41.69 Typical High $45.71 | Professional | None | $33.11 | $41.69 | $45.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.01 Median $6.17 Typical High $6.61 | Professional | 55 · Aftercare only | $5.01 | $6.17 | $6.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $4.17 Typical High $4.47 | Professional | 56 · Pre-op care only | $3.39 | $4.17 | $4.47 |
BCBS South Carolina Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
BCBS South Carolina Setting Professional Modifier None Typical Low $44.67 Median $46.77 Typical High $57.54 | Professional | None | $44.67 | $46.77 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Medcost Setting Facility Modifier None Typical Low $41.69 Median $46.77 Typical High $134.90 | Facility | None | $41.69 | $46.77 | $134.90 |
Medcost Setting Professional Modifier None Typical Low $48.98 Median $51.29 Typical High $69.18 | Professional | None | $48.98 | $51.29 | $69.18 |
United Setting Professional Modifier None Typical Low $20.89 Median $27.54 Typical High $41.69 | Professional | None | $20.89 | $27.54 | $41.69 |
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 $24.55 Median $25.70 Typical High $39.81 | Professional | 51 · Multiple procedures | $24.55 | $25.70 | $39.81 |
Where South Carolina sits
The same service costs 5.5 times more in Wyoming than in Utah. 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· 12th of 51
$44.67
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.