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 $2.45 Median $2.45 Typical High $2.45 | Facility | None | $2.45 | $2.45 | $2.45 |
Aetna Setting Professional Modifier None Typical Low $1.91 Median $2.45 Typical High $2.45 | Professional | None | $1.91 | $2.45 | $2.45 |
BCBS South Carolina Setting Facility Modifier None Typical Low $2.82 Median $3.16 Typical High $3.16 | Facility | None | $2.82 | $3.16 | $3.16 |
BCBS South Carolina Setting Professional Modifier None Typical Low $1.91 Median $2.00 Typical High $3.16 | Professional | None | $1.91 | $2.00 | $3.16 |
Cigna Setting Facility Modifier None Typical Low $1.86 Median $1.86 Typical High $2.29 | Facility | None | $1.86 | $1.86 | $2.29 |
Cigna Setting Professional Modifier None Typical Low $1.58 Median $1.58 Typical High $2.29 | Professional | None | $1.58 | $1.58 | $2.29 |
Medcost Setting Professional Modifier None Typical Low $1.55 Median $1.55 Typical High $2.00 | Professional | None | $1.55 | $1.55 | $2.00 |
Medcost Setting Facility Modifier None Typical Low $0.83 Median $2.57 Typical High $3.80 | Facility | None | $0.83 | $2.57 | $3.80 |
Medcost Setting Professional Modifier None Typical Low $2.00 Median $2.57 Typical High $4.17 | Professional | None | $2.00 | $2.57 | $4.17 |
Molina Setting Professional Modifier None Typical Low $2.09 Median $2.09 Typical High $2.09 | Professional | None | $2.09 | $2.09 | $2.09 |
United Setting Professional Modifier None Typical Low $1.02 Median $1.48 Typical High $1.91 | Professional | None | $1.02 | $1.48 | $1.91 |
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 $0.32 Median $0.37 Typical High $0.37 | Professional | 55 · Aftercare only | $0.32 | $0.37 | $0.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.21 Median $0.25 Typical High $0.25 | Professional | 56 · Pre-op care only | $0.21 | $0.25 | $0.25 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1.00 Median $1.29 Typical High $2.75 | Professional | 51 · Multiple procedures | $1.00 | $1.29 | $2.75 |
Where South Carolina sits
The same service costs 3.0 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· 24th of 51
$2.00
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.