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 $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $50.12 Typical High $50.12 | Professional | None | $48.98 | $50.12 | $50.12 |
BCBS South Carolina Setting Facility Modifier None Typical Low $10.96 Median $19.95 Typical High $64.57 | Facility | None | $10.96 | $19.95 | $64.57 |
BCBS South Carolina Setting Professional Modifier None Typical Low $9.12 Median $9.77 Typical High $41.69 | Professional | None | $9.12 | $9.77 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $100.00 Typical High $128.82 | Facility | None | $72.44 | $100.00 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Medcost Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $36.31 | Professional | None | $9.77 | $9.77 | $36.31 |
Medcost Setting Facility Modifier None Typical Low $12.30 Median $50.12 Typical High $67.61 | Facility | None | $12.30 | $50.12 | $67.61 |
Medcost Setting Professional Modifier None Typical Low $4.79 Median $27.54 Typical High $131.83 | Professional | None | $4.79 | $27.54 | $131.83 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $128.82 Typical High $131.83 | Professional | None | $30.20 | $128.82 | $131.83 |
United Setting Professional Modifier None Typical Low $39.81 Median $51.29 Typical High $52.48 | Professional | None | $39.81 | $51.29 | $52.48 |
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 $24.55 Median $25.12 Typical High $25.12 | Professional | 52 · Reduced service | $24.55 | $25.12 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $10.00 Typical High $10.00 | Professional | 53 · Discontinued | $9.77 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $7.59 Typical High $7.59 | Professional | 55 · Aftercare only | $7.41 | $7.59 | $7.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $5.01 Typical High $5.01 | Professional | 56 · Pre-op care only | $4.90 | $5.01 | $5.01 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $2.40 Median $12.02 Typical High $66.07 | Professional | 51 · Multiple procedures | $2.40 | $12.02 | $66.07 |
Where South Carolina sits
The same service costs 6.6 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· 48th of 51
$48.98
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.