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 $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $19.95 Typical High $19.95 | Professional | None | $15.85 | $19.95 | $19.95 |
BCBS South Carolina Setting Facility Modifier None Typical Low $22.91 Median $25.70 Typical High $25.70 | Facility | None | $22.91 | $25.70 | $25.70 |
BCBS South Carolina Setting Professional Modifier None Typical Low $15.85 Median $16.98 Typical High $25.70 | Professional | None | $15.85 | $16.98 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $15.14 Typical High $15.14 | Facility | None | $12.02 | $15.14 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $15.14 | Professional | None | $12.88 | $12.88 | $15.14 |
Medcost Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $16.22 | Professional | None | $12.59 | $12.59 | $16.22 |
Medcost Setting Facility Modifier None Typical Low $6.92 Median $21.38 Typical High $30.90 | Facility | None | $6.92 | $21.38 | $30.90 |
Medcost Setting Professional Modifier None Typical Low $15.85 Median $19.05 Typical High $33.88 | Professional | None | $15.85 | $19.05 | $33.88 |
Molina Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
United Setting Professional Modifier None Typical Low $8.32 Median $12.02 Typical High $15.49 | Professional | None | $8.32 | $12.02 | $15.49 |
3 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 55 · Aftercare only Typical Low $2.40 Median $3.02 Typical High $3.02 | Professional | 55 · Aftercare only | $2.40 | $3.02 | $3.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.58 Median $2.04 Typical High $2.04 | Professional | 56 · Pre-op care only | $1.58 | $2.04 | $2.04 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $7.94 Median $10.00 Typical High $22.39 | Professional | 51 · Multiple procedures | $7.94 | $10.00 | $22.39 |
Where South Carolina sits
The same service costs 3.5 times more in Hawaii than in Connecticut. 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· 21st of 51
$16.98
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.