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 $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $32.36 Typical High $32.36 | Professional | None | $30.90 | $32.36 | $32.36 |
BCBS South Carolina Setting Facility Modifier None Typical Low $28.18 Median $43.65 Typical High $85.11 | Facility | None | $28.18 | $43.65 | $85.11 |
BCBS South Carolina Setting Professional Modifier None Typical Low $30.90 Median $33.11 Typical High $36.31 | Professional | None | $30.90 | $33.11 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $53.70 Typical High $75.86 | Facility | None | $43.65 | $53.70 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Medcost Setting Facility Modifier None Typical Low $32.36 Median $38.90 Typical High $85.11 | Facility | None | $32.36 | $38.90 | $85.11 |
Medcost Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $38.90 | Professional | None | $26.92 | $26.92 | $38.90 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $77.62 Typical High $77.62 | Professional | None | $30.20 | $77.62 | $77.62 |
United Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $66.07 | Facility | None | $30.90 | $30.90 | $66.07 |
United Setting Professional Modifier None Typical Low $24.55 Median $31.62 Typical High $32.36 | Professional | None | $24.55 | $31.62 | $32.36 |
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 $15.49 Median $16.22 Typical High $16.22 | Professional | 52 · Reduced service | $15.49 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.46 Typical High $6.46 | Professional | 53 · Discontinued | $6.17 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.68 Median $4.79 Typical High $4.79 | Professional | 55 · Aftercare only | $4.68 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.09 Median $3.24 Typical High $3.24 | Professional | 56 · Pre-op care only | $3.09 | $3.24 | $3.24 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $13.18 Median $13.18 Typical High $23.99 | Professional | 51 · Multiple procedures | $13.18 | $13.18 | $23.99 |
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· 11th of 51
$32.36
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.