How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $9.12 Median $9.12 Typical High $22.91 | Facility | None | $9.12 | $9.12 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $14.45 Typical High $22.91 | Professional | None | $8.91 | $14.45 | $22.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.35 Median $1.78 Typical High $3.47 | Professional | 55 · Aftercare only | $1.35 | $1.78 | $3.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.89 Median $1.32 Typical High $2.29 | Professional | 56 · Pre-op care only | $0.89 | $1.32 | $2.29 |
Ambetter Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
BCBS South Carolina Setting Professional Modifier None Typical Low $7.59 Median $19.50 Typical High $22.91 | Professional | None | $7.59 | $19.50 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Medcost Setting Professional Modifier None Typical Low $26.30 Median $31.62 Typical High $33.11 | Professional | None | $26.30 | $31.62 | $33.11 |
Medcost Setting Facility Modifier None Typical Low $8.71 Median $19.50 Typical High $27.54 | Facility | None | $8.71 | $19.50 | $27.54 |
Medcost Setting Professional Modifier None Typical Low $17.38 Median $20.89 Typical High $26.30 | Professional | None | $17.38 | $20.89 | $26.30 |
Molina Setting Professional Modifier None Typical Low $29.51 Median $38.02 Typical High $58.88 | Professional | None | $29.51 | $38.02 | $58.88 |
United Setting Professional Modifier None Typical Low $7.76 Median $16.22 Typical High $23.44 | Professional | None | $7.76 | $16.22 | $23.44 |
1 more rate 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $8.71 Median $10.47 Typical High $16.22 | Professional | 51 · Multiple procedures | $8.71 | $10.47 | $16.22 |
Where South Carolina sits
The same service costs 3.8 times more in Alaska than in Washington, DC. 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· 32nd of 51
$19.50
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.