How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,445.44 | Professional | None | $1,412.54 | $1,412.54 | $1,445.44 |
BCBS South Carolina Setting Facility Modifier None Typical Low $10,964.78 Median $10,964.78 Typical High $11,220.18 | Facility | None | $10,964.78 | $10,964.78 | $11,220.18 |
BCBS South Carolina Setting Professional Modifier None Typical Low $1,698.24 Median $1,819.70 Typical High $2,570.40 | Professional | None | $1,698.24 | $1,819.70 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $3,467.37 Median $4,677.35 Typical High $11,220.18 | Facility | None | $3,467.37 | $4,677.35 | $11,220.18 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,148.15 Typical High $2,187.76 | Professional | None | $933.25 | $1,148.15 | $2,187.76 |
Medcost Setting Facility Modifier None Typical Low $1,412.54 Median $1,698.24 Typical High $5,248.07 | Facility | None | $1,412.54 | $1,698.24 | $5,248.07 |
Medcost Setting Professional Modifier None Typical Low $2,187.76 Median $2,511.89 Typical High $2,570.40 | Professional | None | $2,187.76 | $2,511.89 | $2,570.40 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,187.76 | Facility | None | $1,659.59 | $1,659.59 | $2,187.76 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,230.27 Typical High $2,187.76 | Professional | None | $758.58 | $1,230.27 | $2,187.76 |
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 $707.95 Median $707.95 Typical High $724.44 | Professional | 52 · Reduced service | $707.95 | $707.95 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $295.12 | Professional | 53 · Discontinued | $281.84 | $281.84 | $295.12 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,230.27 Median $1,230.27 Typical High $1,698.24 | Professional | 51 · Multiple procedures | $1,230.27 | $1,230.27 | $1,698.24 |
Where South Carolina sits
The same service costs 4.3 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· 36th of 51
$1,698
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.