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 $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $346.74 Typical High $346.74 | Professional | None | $331.13 | $346.74 | $346.74 |
BCBS South Carolina Setting Facility Modifier None Typical Low $251.19 Median $371.54 Typical High $645.65 | Facility | None | $251.19 | $371.54 | $645.65 |
BCBS South Carolina Setting Professional Modifier None Typical Low $331.13 Median $338.84 Typical High $363.08 | Professional | None | $331.13 | $338.84 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $575.44 Typical High $812.83 | Facility | None | $467.74 | $575.44 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
Medcost Setting Facility Modifier None Typical Low $346.74 Median $416.87 Typical High $891.25 | Facility | None | $346.74 | $416.87 | $891.25 |
Medcost Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $389.05 | Professional | None | $251.19 | $251.19 | $389.05 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $776.25 Typical High $794.33 | Professional | None | $30.20 | $776.25 | $794.33 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $707.95 | Facility | None | $331.13 | $331.13 | $707.95 |
United Setting Professional Modifier None Typical Low $257.04 Median $323.59 Typical High $338.84 | Professional | None | $257.04 | $323.59 | $338.84 |
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 $165.96 Median $173.78 Typical High $173.78 | Professional | 52 · Reduced service | $165.96 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $69.18 Typical High $69.18 | Professional | 53 · Discontinued | $66.07 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $52.48 Typical High $52.48 | Professional | 55 · Aftercare only | $48.98 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $34.67 Typical High $34.67 | Professional | 56 · Pre-op care only | $33.11 | $34.67 | $34.67 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $123.03 Median $123.03 Typical High $218.78 | Professional | 51 · Multiple procedures | $123.03 | $123.03 | $218.78 |
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· 15th of 51
$339
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.