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 $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $213.80 Typical High $213.80 | Professional | None | $204.17 | $213.80 | $213.80 |
BCBS South Carolina Setting Facility Modifier None Typical Low $151.36 Median $223.87 Typical High $389.05 | Facility | None | $151.36 | $223.87 | $389.05 |
BCBS South Carolina Setting Professional Modifier None Typical Low $204.17 Median $208.93 Typical High $223.87 | Professional | None | $204.17 | $208.93 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $331.13 Typical High $501.19 | Facility | None | $288.40 | $331.13 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
Medcost Setting Facility Modifier None Typical Low $213.80 Median $239.88 Typical High $549.54 | Facility | None | $213.80 | $239.88 | $549.54 |
Medcost Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $234.42 | Professional | None | $151.36 | $151.36 | $234.42 |
Molina Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $489.78 | Professional | None | $478.63 | $478.63 | $489.78 |
United Setting Professional Modifier None Typical Low $162.18 Median $199.53 Typical High $213.80 | Professional | None | $162.18 | $199.53 | $213.80 |
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 $102.33 Median $107.15 Typical High $107.15 | Professional | 52 · Reduced service | $102.33 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $40.74 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $32.36 Typical High $32.36 | Professional | 55 · Aftercare only | $30.90 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $21.38 Typical High $21.38 | Professional | 56 · Pre-op care only | $20.42 | $21.38 | $21.38 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $75.86 Median $75.86 Typical High $134.90 | Professional | 51 · Multiple procedures | $75.86 | $75.86 | $134.90 |
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· 19th of 51
$209
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.