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 $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $20.42 Typical High $20.42 | Professional | None | $16.22 | $20.42 | $20.42 |
BCBS South Carolina Setting Facility Modifier None Typical Low $23.44 Median $26.30 Typical High $26.30 | Facility | None | $23.44 | $26.30 | $26.30 |
BCBS South Carolina Setting Professional Modifier None Typical Low $16.98 Median $23.44 Typical High $26.30 | Professional | None | $16.98 | $23.44 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $15.49 | Professional | None | $13.18 | $13.18 | $15.49 |
Medcost Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $16.60 | Professional | None | $10.96 | $10.96 | $16.60 |
Medcost Setting Facility Modifier None Typical Low $7.08 Median $21.38 Typical High $31.62 | Facility | None | $7.08 | $21.38 | $31.62 |
Medcost Setting Professional Modifier None Typical Low $16.98 Median $19.50 Typical High $29.51 | Professional | None | $16.98 | $19.50 | $29.51 |
Molina Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
United Setting Professional Modifier None Typical Low $8.51 Median $12.30 Typical High $15.49 | Professional | None | $8.51 | $12.30 | $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 $2.45 Median $3.09 Typical High $3.09 | Professional | 55 · Aftercare only | $2.45 | $3.09 | $3.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.62 Median $2.04 Typical High $2.04 | Professional | 56 · Pre-op care only | $1.62 | $2.04 | $2.04 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $8.51 Median $10.00 Typical High $22.91 | Professional | 51 · Multiple procedures | $8.51 | $10.00 | $22.91 |
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· 22nd 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.