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 $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $28.18 Typical High $28.18 | Professional | None | $22.91 | $28.18 | $28.18 |
BCBS South Carolina Setting Facility Modifier None Typical Low $32.36 Median $36.31 Typical High $36.31 | Facility | None | $32.36 | $36.31 | $36.31 |
BCBS South Carolina Setting Professional Modifier None Typical Low $21.88 Median $22.91 Typical High $36.31 | Professional | None | $21.88 | $22.91 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $21.38 Typical High $22.91 | Facility | None | $12.59 | $21.38 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $22.91 | Professional | None | $18.20 | $18.20 | $22.91 |
Medcost Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $22.91 | Professional | None | $17.78 | $17.78 | $22.91 |
Medcost Setting Facility Modifier None Typical Low $9.77 Median $29.51 Typical High $43.65 | Facility | None | $9.77 | $29.51 | $43.65 |
Medcost Setting Professional Modifier None Typical Low $22.91 Median $26.92 Typical High $46.77 | Professional | None | $22.91 | $26.92 | $46.77 |
Molina Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
United Setting Professional Modifier None Typical Low $11.75 Median $16.98 Typical High $21.38 | Professional | None | $11.75 | $16.98 | $21.38 |
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 $3.47 Median $4.27 Typical High $4.27 | Professional | 55 · Aftercare only | $3.47 | $4.27 | $4.27 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.29 Median $2.82 Typical High $2.82 | Professional | 56 · Pre-op care only | $2.29 | $2.82 | $2.82 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $11.48 Median $14.13 Typical High $31.62 | Professional | 51 · Multiple procedures | $11.48 | $14.13 | $31.62 |
Where South Carolina sits
The same service costs 2.6 times more in Hawaii than in New Hampshire. 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
$22.91
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.