How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $3,981.07 Median $3,981.07 Typical High $3,981.07 | Facility | None | $3,981.07 | $3,981.07 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $3,890.45 Median $3,981.07 Typical High $3,981.07 | Professional | None | $3,890.45 | $3,981.07 | $3,981.07 |
BCBS South Carolina Setting Professional Modifier None Typical Low $147.91 Median $158.49 Typical High $1,621.81 | Professional | None | $147.91 | $158.49 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $4,677.35 Median $7,943.28 Typical High $10,000.00 | Facility | None | $4,677.35 | $7,943.28 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Professional | None | $4,073.80 | $4,073.80 | $4,073.80 |
Medcost Setting Facility Modifier None Typical Low $3,981.07 Median $4,786.30 Typical High $5,370.32 | Facility | None | $3,981.07 | $4,786.30 | $5,370.32 |
Medcost Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $4,786.30 | Professional | None | $2,951.21 | $2,951.21 | $4,786.30 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
United Setting Professional Modifier None Typical Low $3,548.13 Median $4,168.69 Typical High $4,168.69 | Professional | None | $3,548.13 | $4,168.69 | $4,168.69 |
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 $1,949.84 Median $1,995.26 Typical High $1,995.26 | Professional | 52 · Reduced service | $1,949.84 | $1,995.26 | $1,995.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $776.25 Median $794.33 Typical High $794.33 | Professional | 53 · Discontinued | $776.25 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $575.44 Median $588.84 Typical High $602.56 | Professional | 55 · Aftercare only | $575.44 | $588.84 | $602.56 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $389.05 Median $398.11 Typical High $398.11 | Professional | 56 · Pre-op care only | $389.05 | $398.11 | $398.11 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,479.11 Median $1,479.11 Typical High $2,818.38 | Professional | 51 · Multiple procedures | $1,479.11 | $1,479.11 | $2,818.38 |
Where South Carolina sits
The same service costs 2.2 times more in Alaska than in South Carolina. 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· 51st of 51
$2,951
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.