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 $4,786.30 Median $4,786.30 Typical High $4,786.30 | Facility | None | $4,786.30 | $4,786.30 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $5,011.87 | Professional | None | $4,786.30 | $4,786.30 | $5,011.87 |
BCBS South Carolina Setting Facility Modifier None Typical Low $3,890.45 Median $6,918.31 Typical High $11,748.98 | Facility | None | $3,890.45 | $6,918.31 | $11,748.98 |
BCBS South Carolina Setting Professional Modifier None Typical Low $5,128.61 Median $5,495.41 Typical High $5,754.40 | Professional | None | $5,128.61 | $5,495.41 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $7,079.46 Median $9,549.93 Typical High $12,302.69 | Facility | None | $7,079.46 | $9,549.93 | $12,302.69 |
Cigna Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None | $5,011.87 | $5,011.87 | $5,011.87 |
Medcost Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,548.13 | Professional | None | $2,511.89 | $2,511.89 | $3,548.13 |
Medcost Setting Facility Modifier None Typical Low $1,548.82 Median $5,248.07 Typical High $9,120.11 | Facility | None | $1,548.82 | $5,248.07 | $9,120.11 |
Medcost Setting Professional Modifier None Typical Low $1,479.11 Median $3,981.07 Typical High $5,754.40 | Professional | None | $1,479.11 | $3,981.07 | $5,754.40 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $3,890.45 Median $5,011.87 Typical High $5,128.61 | Professional | None | $3,890.45 | $5,011.87 | $5,128.61 |
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 $2,398.83 Median $2,398.83 Typical High $2,511.89 | Professional | 52 · Reduced service | $2,398.83 | $2,398.83 | $2,511.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $954.99 Median $954.99 Typical High $1,000.00 | Professional | 53 · Discontinued | $954.99 | $954.99 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $724.44 Median $724.44 Typical High $741.31 | Professional | 55 · Aftercare only | $724.44 | $724.44 | $741.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $478.63 Median $478.63 Typical High $501.19 | Professional | 56 · Pre-op care only | $478.63 | $478.63 | $501.19 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $724.44 Median $1,380.38 Typical High $3,235.94 | Professional | 51 · Multiple procedures | $724.44 | $1,380.38 | $3,235.94 |
Where South Carolina sits
The same service costs 1.8 times more in Alaska than in North Carolina. 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· 40th of 51
$5,012
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.