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 $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $46.77 Typical High $46.77 | Professional | None | $43.65 | $46.77 | $46.77 |
BCBS South Carolina Setting Facility Modifier None Typical Low $53.70 Median $58.88 Typical High $58.88 | Facility | None | $53.70 | $58.88 | $58.88 |
BCBS South Carolina Setting Professional Modifier None Typical Low $38.02 Median $53.70 Typical High $58.88 | Professional | None | $38.02 | $53.70 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $40.74 | Professional | None | $34.67 | $34.67 | $40.74 |
Medcost Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $43.65 | Professional | None | $33.88 | $33.88 | $43.65 |
Medcost Setting Facility Modifier None Typical Low $18.62 Median $48.98 Typical High $70.79 | Facility | None | $18.62 | $48.98 | $70.79 |
Medcost Setting Professional Modifier None Typical Low $37.15 Median $44.67 Typical High $69.18 | Professional | None | $37.15 | $44.67 | $69.18 |
Molina Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
United Setting Professional Modifier None Typical Low $21.88 Median $28.84 Typical High $37.15 | Professional | None | $21.88 | $28.84 | $37.15 |
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 $6.46 Median $6.92 Typical High $6.92 | Professional | 55 · Aftercare only | $6.46 | $6.92 | $6.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $4.68 Typical High $4.68 | Professional | 56 · Pre-op care only | $4.37 | $4.68 | $4.68 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $18.62 Median $22.39 Typical High $51.29 | Professional | 51 · Multiple procedures | $18.62 | $22.39 | $51.29 |
Where South Carolina sits
The same service costs 3.0 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· 30th of 51
$40.74
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.