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 $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $30.90 | Professional | None | $29.51 | $29.51 | $30.90 |
BCBS South Carolina Setting Facility Modifier None Typical Low $36.31 Median $56.23 Typical High $104.71 | Facility | None | $36.31 | $56.23 | $104.71 |
BCBS South Carolina Setting Professional Modifier None Typical Low $31.62 Median $34.67 Typical High $35.48 | Professional | None | $31.62 | $34.67 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $58.88 Typical High $75.86 | Facility | None | $34.67 | $58.88 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Medcost Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $10.96 | Professional | None | $10.23 | $10.23 | $10.96 |
Medcost Setting Facility Modifier None Typical Low $29.51 Median $35.48 Typical High $39.81 | Facility | None | $29.51 | $35.48 | $39.81 |
Medcost Setting Professional Modifier None Typical Low $8.91 Median $15.14 Typical High $36.31 | Professional | None | $8.91 | $15.14 | $36.31 |
Molina Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $30.90 | Professional | None | $29.51 | $29.51 | $30.90 |
United Setting Professional Modifier None Typical Low $23.99 Median $30.90 Typical High $31.62 | Professional | None | $23.99 | $30.90 | $31.62 |
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 $14.79 Median $14.79 Typical High $15.49 | Professional | 52 · Reduced service | $14.79 | $14.79 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $5.89 Typical High $6.17 | Professional | 53 · Discontinued | $5.89 | $5.89 | $6.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.47 Median $4.47 Typical High $4.57 | Professional | 55 · Aftercare only | $4.47 | $4.47 | $4.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.95 Median $2.95 Typical High $3.09 | Professional | 56 · Pre-op care only | $2.95 | $2.95 | $3.09 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $4.47 Median $7.59 Typical High $14.45 | Professional | 51 · Multiple procedures | $4.47 | $7.59 | $14.45 |
Where South Carolina sits
The same service costs 4.7 times more in Alaska than in Hawaii. 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· 28th of 51
$30.90
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.