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 $1.78 Median $1.78 Typical High $1.78 | Facility | None | $1.78 | $1.78 | $1.78 |
Aetna Setting Professional Modifier None Typical Low $1.17 Median $1.78 Typical High $1.78 | Professional | None | $1.17 | $1.78 | $1.78 |
BCBS South Carolina Setting Facility Modifier None Typical Low $2.04 Median $2.29 Typical High $2.29 | Facility | None | $2.04 | $2.29 | $2.29 |
BCBS South Carolina Setting Professional Modifier None Typical Low $2.00 Median $2.29 Typical High $2.34 | Professional | None | $2.00 | $2.29 | $2.34 |
Cigna Setting Facility Modifier None Typical Low $0.72 Median $1.35 Typical High $1.35 | Facility | None | $0.72 | $1.35 | $1.35 |
Cigna Setting Professional Modifier None Typical Low $1.12 Median $1.12 Typical High $1.35 | Professional | None | $1.12 | $1.12 | $1.35 |
Medcost Setting Professional Modifier None Typical Low $1.12 Median $1.12 Typical High $1.45 | Professional | None | $1.12 | $1.12 | $1.45 |
Medcost Setting Facility Modifier None Typical Low $0.62 Median $1.78 Typical High $2.75 | Facility | None | $0.62 | $1.78 | $2.75 |
Medcost Setting Professional Modifier None Typical Low $1.00 Median $1.86 Typical High $2.75 | Professional | None | $1.00 | $1.86 | $2.75 |
Molina Setting Professional Modifier None Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | None | $1.51 | $1.51 | $1.51 |
United Setting Professional Modifier None Typical Low $0.74 Median $1.07 Typical High $1.35 | Professional | None | $0.74 | $1.07 | $1.35 |
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 $0.21 Median $0.27 Typical High $0.27 | Professional | 55 · Aftercare only | $0.21 | $0.27 | $0.27 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.15 Median $0.18 Typical High $0.18 | Professional | 56 · Pre-op care only | $0.15 | $0.18 | $0.18 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $0.50 Median $0.93 Typical High $1.95 | Professional | 51 · Multiple procedures | $0.50 | $0.93 | $1.95 |
Where South Carolina sits
The same service costs 5.8 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· 11th 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.