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 $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $117.49 | Professional | None | $114.82 | $114.82 | $117.49 |
BCBS South Carolina Setting Facility Modifier None Typical Low $331.13 Median $537.03 Typical High $1,047.13 | Facility | None | $331.13 | $537.03 | $1,047.13 |
BCBS South Carolina Setting Professional Modifier None Typical Low $147.91 Median $173.78 Typical High $371.54 | Professional | None | $147.91 | $173.78 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $380.19 Typical High $912.01 | Facility | None | $281.84 | $380.19 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $89.13 Typical High $177.83 | Professional | None | $75.86 | $89.13 | $177.83 |
Medcost Setting Facility Modifier None Typical Low $112.20 Median $147.91 Typical High $245.47 | Facility | None | $112.20 | $147.91 | $245.47 |
Medcost Setting Professional Modifier None Typical Low $177.83 Median $251.19 Typical High $269.15 | Professional | None | $177.83 | $251.19 | $269.15 |
United Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $177.83 | Facility | None | $134.90 | $134.90 | $177.83 |
United Setting Professional Modifier None Typical Low $61.66 Median $100.00 Typical High $208.93 | Professional | None | $61.66 | $100.00 | $208.93 |
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 $57.54 Median $57.54 Typical High $58.88 | Professional | 52 · Reduced service | $57.54 | $57.54 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $23.99 | Professional | 53 · Discontinued | $22.91 | $22.91 | $23.99 |
Where South Carolina sits
The same service costs 5.8 times more in Kansas 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· 9th of 51
$209
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.