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 $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $645.65 | Professional | None | $630.96 | $630.96 | $645.65 |
BCBS South Carolina Setting Facility Modifier None Typical Low $676.08 Median $1,122.02 Typical High $2,137.96 | Facility | None | $676.08 | $1,122.02 | $2,137.96 |
BCBS South Carolina Setting Professional Modifier None Typical Low $363.08 Median $776.25 Typical High $794.33 | Professional | None | $363.08 | $776.25 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $1,819.70 Typical High $4,897.79 | Facility | None | $1,513.56 | $1,819.70 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $363.08 Typical High $870.96 | Professional | None | $158.49 | $363.08 | $870.96 |
Medcost Setting Facility Modifier None Typical Low $257.04 Median $630.96 Typical High $1,071.52 | Facility | None | $257.04 | $630.96 | $1,071.52 |
Medcost Setting Professional Modifier None Typical Low $436.52 Median $524.81 Typical High $562.34 | Professional | None | $436.52 | $524.81 | $562.34 |
United Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $954.99 | Facility | None | $724.44 | $724.44 | $954.99 |
United Setting Professional Modifier None Typical Low $208.93 Median $398.11 Typical High $794.33 | Professional | None | $208.93 | $398.11 | $794.33 |
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 52 · Reduced service Typical Low $316.23 Median $316.23 Typical High $323.59 | Professional | 52 · Reduced service | $316.23 | $316.23 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $128.82 | Professional | 53 · Discontinued | $125.89 | $125.89 | $128.82 |
Where South Carolina sits
The same service costs 11.0 times more in Alaska than in Alabama. 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· 18th of 51
$776
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.