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 $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $147.91 | Professional | None | $144.54 | $144.54 | $147.91 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,023.29 | Facility | None | $1,000.00 | $1,000.00 | $1,023.29 |
BCBS South Carolina Setting Professional Modifier None Typical Low $181.97 Median $186.21 Typical High $257.04 | Professional | None | $181.97 | $186.21 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $467.74 Typical High $1,148.15 | Facility | None | $346.74 | $467.74 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $87.10 Typical High $223.87 | Professional | None | $83.18 | $87.10 | $223.87 |
Medcost Setting Facility Modifier None Typical Low $144.54 Median $173.78 Typical High $537.03 | Facility | None | $144.54 | $173.78 | $537.03 |
Medcost Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $257.04 | Professional | None | $186.21 | $186.21 | $257.04 |
United Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $223.87 | Facility | None | $165.96 | $165.96 | $223.87 |
United Setting Professional Modifier None Typical Low $77.62 Median $112.20 Typical High $186.21 | Professional | None | $77.62 | $112.20 | $186.21 |
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 $72.44 Median $72.44 Typical High $74.13 | Professional | 52 · Reduced service | $72.44 | $72.44 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $29.51 | Professional | 53 · Discontinued | $28.84 | $28.84 | $29.51 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $93.33 Median $93.33 Typical High $147.91 | Professional | 51 · Multiple procedures | $93.33 | $93.33 | $147.91 |
Where South Carolina sits
The same service costs 4.2 times more in Texas 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· 26th of 51
$182
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.