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 $346.74 Median $5,623.41 Typical High $21,877.62 | Facility | None | $346.74 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $524.81 Typical High $741.31 | Professional | None | $309.03 | $524.81 | $741.31 |
Ambetter Setting Professional Modifier None Typical Low $588.84 Median $645.65 Typical High $891.25 | Professional | None | $588.84 | $645.65 | $891.25 |
BCBS South Carolina Setting Facility Modifier None Typical Low $707.95 Median $1,230.27 Typical High $2,238.72 | Facility | None | $707.95 | $1,230.27 | $2,238.72 |
BCBS South Carolina Setting Professional Modifier None Typical Low $251.19 Median $588.84 Typical High $724.44 | Professional | None | $251.19 | $588.84 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $512.86 Typical High $794.33 | Facility | None | $446.68 | $512.86 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $549.54 Typical High $776.25 | Professional | None | $295.12 | $549.54 | $776.25 |
Medcost Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
Medcost Setting Facility Modifier None Typical Low $263.03 Median $354.81 Typical High $758.58 | Facility | None | $263.03 | $354.81 | $758.58 |
Medcost Setting Professional Modifier None Typical Low $630.96 Median $724.44 Typical High $776.25 | Professional | None | $630.96 | $724.44 | $776.25 |
Molina Setting Professional Modifier None Typical Low $588.84 Median $741.31 Typical High $1,071.52 | Professional | None | $588.84 | $741.31 | $1,071.52 |
United Setting Facility Modifier None Typical Low $83.18 Median $446.68 Typical High $2,344.23 | Facility | None | $83.18 | $446.68 | $2,344.23 |
United Setting Professional Modifier None Typical Low $288.40 Median $524.81 Typical High $891.25 | Professional | None | $288.40 | $524.81 | $891.25 |
2 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 54 · Surgery only Typical Low $263.03 Median $263.03 Typical High $512.86 | Professional | 54 · Surgery only | $263.03 | $263.03 | $512.86 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $316.23 Median $371.54 Typical High $446.68 | Professional | 51 · Multiple procedures | $316.23 | $371.54 | $446.68 |
Where South Carolina sits
The same service costs 3.1 times more in Alaska than in Maryland. 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· 21st of 51
$603
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.