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 $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
Aetna Setting Professional Modifier None Typical Low $2,884.03 Median $3,019.95 Typical High $3,019.95 | Professional | None | $2,884.03 | $3,019.95 | $3,019.95 |
BCBS South Carolina Setting Facility Modifier None Typical Low $2,089.30 Median $3,019.95 Typical High $5,370.32 | Facility | None | $2,089.30 | $3,019.95 | $5,370.32 |
BCBS South Carolina Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $3,090.30 | Professional | None | $2,884.03 | $2,884.03 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $4,073.80 Median $5,011.87 Typical High $7,079.46 | Facility | None | $4,073.80 | $5,011.87 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,884.03 | $2,884.03 | $2,884.03 |
Medcost Setting Facility Modifier None Typical Low $3,019.95 Median $3,630.78 Typical High $7,585.78 | Facility | None | $3,019.95 | $3,630.78 | $7,585.78 |
Medcost Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $3,235.94 | Professional | None | $2,454.71 | $2,454.71 | $3,235.94 |
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 Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $6,165.95 | Facility | None | $2,884.03 | $2,884.03 | $6,165.95 |
United Setting Professional Modifier None Typical Low $2,238.72 Median $2,818.38 Typical High $3,019.95 | Professional | None | $2,238.72 | $2,818.38 | $3,019.95 |
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 $1,445.44 Median $1,513.56 Typical High $1,513.56 | Professional | 52 · Reduced service | $1,445.44 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $575.44 Median $602.56 Typical High $602.56 | Professional | 53 · Discontinued | $575.44 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $426.58 Median $457.09 Typical High $457.09 | Professional | 55 · Aftercare only | $426.58 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $288.40 Median $302.00 Typical High $302.00 | Professional | 56 · Pre-op care only | $288.40 | $302.00 | $302.00 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,230.27 Median $1,230.27 Typical High $1,862.09 | Professional | 51 · Multiple procedures | $1,230.27 | $1,230.27 | $1,862.09 |
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· 45th of 51
$2,884
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.