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 $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $22.39 | Professional | None | $21.88 | $21.88 | $22.39 |
BCBS South Carolina Setting Facility Modifier None Typical Low $21.38 Median $32.36 Typical High $60.26 | Facility | None | $21.38 | $32.36 | $60.26 |
BCBS South Carolina Setting Professional Modifier None Typical Low $23.44 Median $25.12 Typical High $26.30 | Professional | None | $23.44 | $25.12 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $43.65 Typical High $54.95 | Facility | None | $31.62 | $43.65 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Medcost Setting Facility Modifier None Typical Low $21.88 Median $26.30 Typical High $40.74 | Facility | None | $21.88 | $26.30 | $40.74 |
Medcost Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $28.18 | Professional | None | $23.99 | $23.99 | $28.18 |
Molina Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $23.99 | Professional | None | $22.39 | $22.39 | $23.99 |
United Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $50.12 | Facility | None | $23.44 | $23.44 | $50.12 |
United Setting Professional Modifier None Typical Low $17.78 Median $22.39 Typical High $23.44 | Professional | None | $17.78 | $22.39 | $23.44 |
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 $10.96 Median $10.96 Typical High $11.22 | Professional | 52 · Reduced service | $10.96 | $10.96 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.37 Typical High $4.47 | Professional | 53 · Discontinued | $4.37 | $4.37 | $4.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.24 Median $3.24 Typical High $3.39 | Professional | 55 · Aftercare only | $3.24 | $3.24 | $3.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.19 Median $2.19 Typical High $2.24 | Professional | 56 · Pre-op care only | $2.19 | $2.19 | $2.24 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $12.02 Median $12.02 Typical High $17.38 | Professional | 51 · Multiple procedures | $12.02 | $12.02 | $17.38 |
Where South Carolina sits
The same service costs 1.5 times more in Alaska than in Arizona. 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· 17th of 51
$23.44
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.