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 $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $19.95 Typical High $19.95 | Professional | None | $18.20 | $19.95 | $19.95 |
BCBS South Carolina Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
BCBS South Carolina Setting Professional Modifier None Typical Low $20.89 Median $22.39 Typical High $25.12 | Professional | None | $20.89 | $22.39 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
Medcost Setting Facility Modifier None Typical Low $19.95 Median $22.91 Typical High $26.92 | Facility | None | $19.95 | $22.91 | $26.92 |
Medcost Setting Professional Modifier None Typical Low $10.96 Median $31.62 Typical High $31.62 | Professional | None | $10.96 | $31.62 | $31.62 |
United Setting Professional Modifier None Typical Low $7.24 Median $19.95 Typical High $30.20 | Professional | None | $7.24 | $19.95 | $30.20 |
2 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 $2.75 Median $2.95 Typical High $2.95 | Professional | 55 · Aftercare only | $2.75 | $2.95 | $2.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.82 Median $2.00 Typical High $2.00 | Professional | 56 · Pre-op care only | $1.82 | $2.00 | $2.00 |
Where South Carolina sits
The same service costs 3.5 times more in Florida than in Alabama. 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· 8th of 51
$22.39
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.