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 $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $354.81 | Professional | None | $346.74 | $346.74 | $354.81 |
BCBS South Carolina Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,454.71 | Facility | None | $2,344.23 | $2,344.23 | $2,454.71 |
BCBS South Carolina Setting Professional Modifier None Typical Low $173.78 Median $251.19 Typical High $436.52 | Professional | None | $173.78 | $251.19 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $912.01 Typical High $2,691.53 | Facility | None | $831.76 | $912.01 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $204.17 Typical High $467.74 | Professional | None | $81.28 | $204.17 | $467.74 |
Medcost Setting Facility Modifier None Typical Low $165.96 Median $380.19 Typical High $1,258.93 | Facility | None | $165.96 | $380.19 | $1,258.93 |
Medcost Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $575.44 | Professional | None | $177.83 | $177.83 | $575.44 |
United Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $524.81 | Facility | None | $398.11 | $398.11 | $524.81 |
United Setting Professional Modifier None Typical Low $89.13 Median $186.21 Typical High $354.81 | Professional | None | $89.13 | $186.21 | $354.81 |
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 $169.82 Median $169.82 Typical High $177.83 | Professional | 52 · Reduced service | $169.82 | $169.82 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $70.79 | Professional | 53 · Discontinued | $69.18 | $69.18 | $70.79 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $89.13 Median $89.13 Typical High $331.13 | Professional | 51 · Multiple procedures | $89.13 | $89.13 | $331.13 |
Where South Carolina sits
The same service costs 7.1 times more in Texas than in North Carolina. 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· 45th of 51
$263
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.