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 $45.71 Median $45.71 Typical High $57.54 | Facility | None | $45.71 | $45.71 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $45.71 Typical High $45.71 | Professional | None | $43.65 | $45.71 | $45.71 |
BCBS South Carolina Setting Facility Modifier None Typical Low $26.92 Median $48.98 Typical High $95.50 | Facility | None | $26.92 | $48.98 | $95.50 |
BCBS South Carolina Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $46.77 | Professional | None | $43.65 | $43.65 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $75.86 Typical High $107.15 | Facility | None | $61.66 | $75.86 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Medcost Setting Facility Modifier None Typical Low $45.71 Median $54.95 Typical High $117.49 | Facility | None | $45.71 | $54.95 | $117.49 |
Medcost Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $46.77 | Professional | None | $28.84 | $28.84 | $46.77 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $104.71 Typical High $107.15 | Professional | None | $30.20 | $104.71 | $107.15 |
United Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $93.33 | Facility | None | $43.65 | $43.65 | $93.33 |
United Setting Professional Modifier None Typical Low $33.88 Median $42.66 Typical High $44.67 | Professional | None | $33.88 | $42.66 | $44.67 |
6 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 $21.88 Median $22.91 Typical High $22.91 | Professional | 52 · Reduced service | $21.88 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $8.71 | $9.12 | $9.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $6.92 Typical High $6.92 | Professional | 55 · Aftercare only | $6.61 | $6.92 | $6.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $4.57 Typical High $4.57 | Professional | 56 · Pre-op care only | $4.37 | $4.57 | $4.57 |
Ambetter Setting Professional Modifier JW · Drug discarded Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | JW · Drug discarded | $58.88 | $58.88 | $58.88 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $14.45 Median $14.45 Typical High $26.92 | Professional | 51 · Multiple procedures | $14.45 | $14.45 | $26.92 |
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· 30th of 51
$43.65
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.