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 $3.55 Median $3.55 Typical High $3.55 | Facility | None | $3.55 | $3.55 | $3.55 |
Aetna Setting Professional Modifier None Typical Low $3.09 Median $3.55 Typical High $3.55 | Professional | None | $3.09 | $3.55 | $3.55 |
BCBS South Carolina Setting Facility Modifier None Typical Low $4.07 Median $4.57 Typical High $4.57 | Facility | None | $4.07 | $4.57 | $4.57 |
BCBS South Carolina Setting Professional Modifier None Typical Low $2.75 Median $3.02 Typical High $4.57 | Professional | None | $2.75 | $3.02 | $4.57 |
Cigna Setting Facility Modifier None Typical Low $2.69 Median $2.69 Typical High $3.31 | Facility | None | $2.69 | $2.69 | $3.31 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $3.31 | Professional | None | $2.29 | $2.29 | $3.31 |
Medcost Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.82 | Professional | None | $2.24 | $2.24 | $2.82 |
Medcost Setting Facility Modifier None Typical Low $1.23 Median $3.72 Typical High $5.50 | Facility | None | $1.23 | $3.72 | $5.50 |
Medcost Setting Professional Modifier None Typical Low $3.02 Median $3.72 Typical High $5.13 | Professional | None | $3.02 | $3.72 | $5.13 |
Molina Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | None | $3.02 | $3.02 | $3.02 |
United Setting Professional Modifier None Typical Low $1.48 Median $2.14 Typical High $2.69 | Professional | None | $1.48 | $2.14 | $2.69 |
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 $0.46 Median $0.52 Typical High $0.52 | Professional | 55 · Aftercare only | $0.46 | $0.52 | $0.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.31 Median $0.36 Typical High $0.36 | Professional | 56 · Pre-op care only | $0.31 | $0.36 | $0.36 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1.51 Median $1.86 Typical High $3.89 | Professional | 51 · Multiple procedures | $1.51 | $1.86 | $3.89 |
Where South Carolina sits
The same service costs 2.3 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
$3.02
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.