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 $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $3,388.44 Median $3,467.37 Typical High $3,548.13 | Professional | None | $3,388.44 | $3,467.37 | $3,548.13 |
BCBS South Carolina Setting Facility Modifier None Typical Low $912.01 Median $1,778.28 Typical High $2,691.53 | Facility | None | $912.01 | $1,778.28 | $2,691.53 |
BCBS South Carolina Setting Professional Modifier None Typical Low $3,715.35 Median $4,168.69 Typical High $4,677.35 | Professional | None | $3,715.35 | $4,168.69 | $4,677.35 |
Cigna Setting Facility Modifier None Typical Low $4,073.80 Median $6,918.31 Typical High $8,709.64 | Facility | None | $4,073.80 | $6,918.31 | $8,709.64 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,548.13 | $3,548.13 | $3,548.13 |
Medcost Setting Facility Modifier None Typical Low $3,467.37 Median $3,801.89 Typical High $4,677.35 | Facility | None | $3,467.37 | $3,801.89 | $4,677.35 |
Medcost Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $2,754.23 Typical High $3,467.37 | Professional | None | $30.20 | $2,754.23 | $3,467.37 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $3,388.44 | Facility | None | $1,584.89 | $1,584.89 | $3,388.44 |
United Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,890.45 | Professional | None | $3,467.37 | $3,467.37 | $3,890.45 |
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 $1,698.24 Median $1,737.80 Typical High $1,737.80 | Professional | 52 · Reduced service | $1,698.24 | $1,737.80 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $676.08 Median $691.83 Typical High $691.83 | Professional | 53 · Discontinued | $676.08 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $501.19 Median $512.86 Typical High $524.81 | Professional | 55 · Aftercare only | $501.19 | $512.86 | $524.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $338.84 Median $346.74 Typical High $346.74 | Professional | 56 · Pre-op care only | $338.84 | $346.74 | $346.74 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 51 · Multiple procedures | $537.03 | $537.03 | $537.03 |
Where South Carolina sits
The same service costs 1.6 times more in North Carolina than in Nebraska. 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· 31st of 51
$3,548
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.