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 $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $371.54 | Professional | None | $363.08 | $363.08 | $371.54 |
BCBS South Carolina Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,570.40 | Facility | None | $2,511.89 | $2,511.89 | $2,570.40 |
BCBS South Carolina Setting Professional Modifier None Typical Low $467.74 Median $588.84 Typical High $831.76 | Professional | None | $467.74 | $588.84 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,174.90 Typical High $2,884.03 | Facility | None | $891.25 | $1,174.90 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $218.78 Typical High $562.34 | Professional | None | $213.80 | $218.78 | $562.34 |
Medcost Setting Facility Modifier None Typical Low $363.08 Median $436.52 Typical High $1,348.96 | Facility | None | $363.08 | $436.52 | $1,348.96 |
Medcost Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $660.69 | Professional | None | $467.74 | $467.74 | $660.69 |
United Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $562.34 | Facility | None | $416.87 | $416.87 | $562.34 |
United Setting Professional Modifier None Typical Low $194.98 Median $281.84 Typical High $467.74 | Professional | None | $194.98 | $281.84 | $467.74 |
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 $181.97 Median $181.97 Typical High $186.21 | Professional | 52 · Reduced service | $181.97 | $181.97 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $74.13 | Professional | 53 · Discontinued | $72.44 | $72.44 | $74.13 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $234.42 Median $234.42 Typical High $371.54 | Professional | 51 · Multiple procedures | $234.42 | $234.42 | $371.54 |
Where South Carolina sits
The same service costs 3.7 times more in Alaska than in Delaware. 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
$468
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.