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 $91.20 Median $4,897.79 Typical High $21,877.62 | Facility | None | $91.20 | $4,897.79 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $112.20 Typical High $154.88 | Professional | None | $77.62 | $112.20 | $154.88 |
Ambetter Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $208.93 | Professional | None | $75.86 | $75.86 | $208.93 |
BCBS South Carolina Setting Facility Modifier None Typical Low $426.58 Median $758.58 Typical High $1,513.56 | Facility | None | $426.58 | $758.58 | $1,513.56 |
BCBS South Carolina Setting Professional Modifier None Typical Low $69.18 Median $120.23 Typical High $229.09 | Professional | None | $69.18 | $120.23 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $85.11 Typical High $2,290.87 | Facility | None | $70.79 | $85.11 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $134.90 Typical High $186.21 | Professional | None | $81.28 | $134.90 | $186.21 |
Medcost Setting Facility Modifier None Typical Low $79.43 Median $125.89 Typical High $151.36 | Facility | None | $79.43 | $125.89 | $151.36 |
Medcost Setting Professional Modifier None Typical Low $117.49 Median $158.49 Typical High $234.42 | Professional | None | $117.49 | $158.49 | $234.42 |
Molina Setting Professional Modifier None Typical Low $95.50 Median $138.04 Typical High $190.55 | Professional | None | $95.50 | $138.04 | $190.55 |
United Setting Facility Modifier None Typical Low $302.00 Median $1,122.02 Typical High $6,165.95 | Facility | None | $302.00 | $1,122.02 | $6,165.95 |
United Setting Professional Modifier None Typical Low $77.62 Median $123.03 Typical High $213.80 | Professional | None | $77.62 | $123.03 | $213.80 |
3 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 $38.90 Median $45.71 Typical High $66.07 | Professional | 52 · Reduced service | $38.90 | $45.71 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $18.20 Typical High $26.30 | Professional | 53 · Discontinued | $15.49 | $18.20 | $26.30 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $75.86 Median $79.43 Typical High $117.49 | Professional | 51 · Multiple procedures | $75.86 | $79.43 | $117.49 |
Where South Carolina sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 24th of 51
$135
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.