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 $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $316.23 | Professional | None | $302.00 | $302.00 | $316.23 |
BCBS South Carolina Setting Facility Modifier None Typical Low $181.97 Median $331.13 Typical High $549.54 | Facility | None | $181.97 | $331.13 | $549.54 |
BCBS South Carolina Setting Professional Modifier None Typical Low $316.23 Median $354.81 Typical High $354.81 | Professional | None | $316.23 | $354.81 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $616.60 Typical High $794.33 | Facility | None | $457.09 | $616.60 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
Medcost Setting Professional Modifier None Typical Low $16.98 Median $144.54 Typical High $144.54 | Professional | None | $16.98 | $144.54 | $144.54 |
Medcost Setting Facility Modifier None Typical Low $9.77 Median $302.00 Typical High $407.38 | Facility | None | $9.77 | $302.00 | $407.38 |
Medcost Setting Professional Modifier None Typical Low $14.13 Median $144.54 Typical High $245.47 | Professional | None | $14.13 | $144.54 | $245.47 |
Molina Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $323.59 | Professional | None | $302.00 | $302.00 | $323.59 |
United Setting Professional Modifier None Typical Low $245.47 Median $316.23 Typical High $331.13 | Professional | None | $245.47 | $316.23 | $331.13 |
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 $151.36 Median $151.36 Typical High $158.49 | Professional | 52 · Reduced service | $151.36 | $151.36 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $63.10 | Professional | 53 · Discontinued | $60.26 | $60.26 | $63.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $45.71 Typical High $47.86 | Professional | 55 · Aftercare only | $45.71 | $45.71 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $30.20 Typical High $31.62 | Professional | 56 · Pre-op care only | $30.20 | $30.20 | $31.62 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $7.08 Median $77.62 Typical High $97.72 | Professional | 51 · Multiple procedures | $7.08 | $77.62 | $97.72 |
Where South Carolina sits
The same service costs 2.3 times more in Alaska than in Montana. 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· 8th of 51
$324
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.