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 $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $30.20 Typical High $30.20 | Professional | None | $26.92 | $30.20 | $30.20 |
BCBS South Carolina Setting Facility Modifier None Typical Low $34.67 Median $38.90 Typical High $38.90 | Facility | None | $34.67 | $38.90 | $38.90 |
BCBS South Carolina Setting Professional Modifier None Typical Low $21.88 Median $33.11 Typical High $38.90 | Professional | None | $21.88 | $33.11 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $26.92 Typical High $28.84 | Facility | None | $22.39 | $26.92 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $26.92 | Professional | None | $22.91 | $22.91 | $26.92 |
Medcost Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $24.55 | Professional | None | $22.39 | $22.39 | $24.55 |
Medcost Setting Facility Modifier None Typical Low $12.02 Median $31.62 Typical High $46.77 | Facility | None | $12.02 | $31.62 | $46.77 |
Medcost Setting Professional Modifier None Typical Low $23.99 Median $28.84 Typical High $50.12 | Professional | None | $23.99 | $28.84 | $50.12 |
Molina Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
United Setting Professional Modifier None Typical Low $13.18 Median $18.62 Typical High $24.55 | Professional | None | $13.18 | $18.62 | $24.55 |
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 $4.07 Median $4.47 Typical High $4.47 | Professional | 55 · Aftercare only | $4.07 | $4.47 | $4.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.75 Median $3.02 Typical High $3.02 | Professional | 56 · Pre-op care only | $2.75 | $3.02 | $3.02 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $12.02 Median $14.45 Typical High $33.11 | Professional | 51 · Multiple procedures | $12.02 | $14.45 | $33.11 |
Where South Carolina sits
The same service costs 2.5 times more in Idaho than in Kentucky. 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· 34th of 51
$25.12
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.