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 $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $31.62 | Professional | None | $30.20 | $30.20 | $31.62 |
BCBS South Carolina Setting Facility Modifier None Typical Low $16.98 Median $32.36 Typical High $54.95 | Facility | None | $16.98 | $32.36 | $54.95 |
BCBS South Carolina Setting Professional Modifier None Typical Low $32.36 Median $34.67 Typical High $36.31 | Professional | None | $32.36 | $34.67 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $60.26 Typical High $77.62 | Facility | None | $44.67 | $60.26 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Medcost Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $20.89 | Professional | None | $14.13 | $14.13 | $20.89 |
Medcost Setting Facility Modifier None Typical Low $25.12 Median $37.15 Typical High $57.54 | Facility | None | $25.12 | $37.15 | $57.54 |
Medcost Setting Professional Modifier None Typical Low $14.13 Median $16.98 Typical High $38.90 | Professional | None | $14.13 | $16.98 | $38.90 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $75.86 | Professional | None | $30.20 | $30.20 | $75.86 |
United Setting Professional Modifier None Typical Low $24.55 Median $31.62 Typical High $32.36 | Professional | None | $24.55 | $31.62 | $32.36 |
5 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 52 · Reduced service Typical Low $15.14 Median $15.14 Typical High $15.85 | Professional | 52 · Reduced service | $15.14 | $15.14 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $6.31 | Professional | 53 · Discontinued | $6.03 | $6.03 | $6.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.57 Median $4.57 Typical High $4.68 | Professional | 55 · Aftercare only | $4.57 | $4.57 | $4.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.02 Median $3.02 Typical High $3.16 | Professional | 56 · Pre-op care only | $3.02 | $3.02 | $3.16 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $7.08 Median $8.51 Typical High $24.55 | Professional | 51 · Multiple procedures | $7.08 | $8.51 | $24.55 |
Where South Carolina sits
Rates are fairly even across states for this service. 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· 14th of 51
$31.62
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.