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 $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $537.03 | Professional | None | $524.81 | $524.81 | $537.03 |
BCBS South Carolina Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,715.35 | Facility | None | $3,630.78 | $3,630.78 | $3,715.35 |
BCBS South Carolina Setting Professional Modifier None Typical Low $676.08 Median $776.25 Typical High $1,174.90 | Professional | None | $676.08 | $776.25 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,698.24 Typical High $4,168.69 | Facility | None | $1,288.25 | $1,698.24 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $331.13 Typical High $812.83 | Professional | None | $309.03 | $331.13 | $812.83 |
Medcost Setting Facility Modifier None Typical Low $524.81 Median $630.96 Typical High $1,949.84 | Facility | None | $524.81 | $630.96 | $1,949.84 |
Medcost Setting Professional Modifier None Typical Low $812.83 Median $1,071.52 Typical High $1,071.52 | Professional | None | $812.83 | $1,071.52 | $1,071.52 |
United Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $812.83 | Facility | None | $602.56 | $602.56 | $812.83 |
United Setting Professional Modifier None Typical Low $281.84 Median $407.38 Typical High $707.95 | Professional | None | $281.84 | $407.38 | $707.95 |
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 $263.03 Median $263.03 Typical High $269.15 | Professional | 52 · Reduced service | $263.03 | $263.03 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $107.15 | Professional | 53 · Discontinued | $104.71 | $104.71 | $107.15 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $489.78 Median $524.81 Typical High $562.34 | Professional | 51 · Multiple procedures | $489.78 | $524.81 | $562.34 |
Where South Carolina sits
The same service costs 3.8 times more in Texas than in Oklahoma. 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· 26th of 51
$676
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.