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 $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $53.70 Typical High $53.70 | Professional | None | $45.71 | $53.70 | $53.70 |
BCBS South Carolina Setting Facility Modifier None Typical Low $61.66 Median $67.61 Typical High $67.61 | Facility | None | $61.66 | $67.61 | $67.61 |
BCBS South Carolina Setting Professional Modifier None Typical Low $45.71 Median $61.66 Typical High $67.61 | Professional | None | $45.71 | $61.66 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $39.81 | Professional | None | $33.88 | $33.88 | $39.81 |
Medcost Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $42.66 | Professional | None | $33.11 | $33.11 | $42.66 |
Medcost Setting Facility Modifier None Typical Low $18.20 Median $56.23 Typical High $81.28 | Facility | None | $18.20 | $56.23 | $81.28 |
Medcost Setting Professional Modifier None Typical Low $42.66 Median $50.12 Typical High $89.13 | Professional | None | $42.66 | $50.12 | $89.13 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
United Setting Professional Modifier None Typical Low $21.88 Median $31.62 Typical High $40.74 | Professional | None | $21.88 | $31.62 | $40.74 |
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 $6.92 Median $7.94 Typical High $7.94 | Professional | 55 · Aftercare only | $6.92 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $5.37 Typical High $5.37 | Professional | 56 · Pre-op care only | $4.57 | $5.37 | $5.37 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $21.38 Median $25.70 Typical High $58.88 | Professional | 51 · Multiple procedures | $21.38 | $25.70 | $58.88 |
Where South Carolina sits
The same service costs 5.8 times more in Hawaii than in Kansas. 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
$45.71
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.