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 $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $165.96 | Professional | None | $162.18 | $162.18 | $165.96 |
BCBS South Carolina Setting Professional Modifier None Typical Low $100.00 Median $125.89 Typical High $208.93 | Professional | None | $100.00 | $125.89 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $524.81 Typical High $1,288.25 | Facility | None | $389.05 | $524.81 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $100.00 Typical High $251.19 | Professional | None | $95.50 | $100.00 | $251.19 |
Medcost Setting Facility Modifier None Typical Low $162.18 Median $194.98 Typical High $602.56 | Facility | None | $162.18 | $194.98 | $602.56 |
Medcost Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $288.40 | Professional | None | $208.93 | $208.93 | $288.40 |
United Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $251.19 | Facility | None | $186.21 | $186.21 | $251.19 |
United Setting Professional Modifier None Typical Low $87.10 Median $123.03 Typical High $208.93 | Professional | None | $87.10 | $123.03 | $208.93 |
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 $81.28 Median $81.28 Typical High $83.18 | Professional | 52 · Reduced service | $81.28 | $81.28 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $33.11 | Professional | 53 · Discontinued | $32.36 | $32.36 | $33.11 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $104.71 Median $104.71 Typical High $165.96 | Professional | 51 · Multiple procedures | $104.71 | $104.71 | $165.96 |
Where South Carolina sits
The same service costs 5.2 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· 48th of 51
$135
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.