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 $6.76 Median $6.76 Typical High $6.76 | Facility | None | $6.76 | $6.76 | $6.76 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $6.76 Typical High $6.76 | Professional | None | $5.75 | $6.76 | $6.76 |
BCBS South Carolina Setting Facility Modifier None Typical Low $7.76 Median $8.51 Typical High $8.51 | Facility | None | $7.76 | $8.51 | $8.51 |
BCBS South Carolina Setting Professional Modifier None Typical Low $6.03 Median $7.76 Typical High $8.51 | Professional | None | $6.03 | $7.76 | $8.51 |
Cigna Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $5.37 | Facility | None | $5.01 | $5.01 | $5.37 |
Cigna Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $5.37 | Professional | None | $4.27 | $4.27 | $5.37 |
Medcost Setting Professional Modifier None Typical Low $4.17 Median $4.17 Typical High $5.37 | Professional | None | $4.17 | $4.17 | $5.37 |
Medcost Setting Facility Modifier None Typical Low $2.29 Median $7.08 Typical High $10.23 | Facility | None | $2.29 | $7.08 | $10.23 |
Medcost Setting Professional Modifier None Typical Low $5.01 Median $6.76 Typical High $9.55 | Professional | None | $5.01 | $6.76 | $9.55 |
Molina Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | None | $5.62 | $5.62 | $5.62 |
United Setting Professional Modifier None Typical Low $2.75 Median $3.98 Typical High $5.13 | Professional | None | $2.75 | $3.98 | $5.13 |
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 $0.87 Median $1.00 Typical High $1.00 | Professional | 55 · Aftercare only | $0.87 | $1.00 | $1.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.58 Median $0.68 Typical High $0.68 | Professional | 56 · Pre-op care only | $0.58 | $0.68 | $0.68 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $2.51 Median $3.47 Typical High $7.41 | Professional | 51 · Multiple procedures | $2.51 | $3.47 | $7.41 |
Where South Carolina sits
The same service costs 2.1 times more in Hawaii than in Delaware. 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· 20th of 51
$6.03
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.