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 $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $29.51 Typical High $29.51 | Professional | None | $23.44 | $29.51 | $29.51 |
BCBS South Carolina Setting Facility Modifier None Typical Low $33.88 Median $38.02 Typical High $38.02 | Facility | None | $33.88 | $38.02 | $38.02 |
BCBS South Carolina Setting Professional Modifier None Typical Low $22.91 Median $23.99 Typical High $38.02 | Professional | None | $22.91 | $23.99 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $21.88 Typical High $21.88 | Facility | None | $18.20 | $21.88 | $21.88 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $21.88 | Professional | None | $18.62 | $18.62 | $21.88 |
Medcost Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $23.99 | Professional | None | $17.78 | $17.78 | $23.99 |
Medcost Setting Facility Modifier None Typical Low $10.00 Median $30.90 Typical High $45.71 | Facility | None | $10.00 | $30.90 | $45.71 |
Medcost Setting Professional Modifier None Typical Low $23.99 Median $28.18 Typical High $48.98 | Professional | None | $23.99 | $28.18 | $48.98 |
Molina Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
United Setting Professional Modifier None Typical Low $12.30 Median $17.38 Typical High $22.39 | Professional | None | $12.30 | $17.38 | $22.39 |
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 $3.55 Median $4.47 Typical High $4.47 | Professional | 55 · Aftercare only | $3.55 | $4.47 | $4.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.34 Median $2.95 Typical High $2.95 | Professional | 56 · Pre-op care only | $2.34 | $2.95 | $2.95 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $12.02 Median $14.45 Typical High $32.36 | Professional | 51 · Multiple procedures | $12.02 | $14.45 | $32.36 |
Where South Carolina sits
The same service costs 2.9 times more in Hawaii than in Rhode Island. 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· 20th of 51
$23.99
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.