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 $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $194.98 | Professional | None | $190.55 | $190.55 | $194.98 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,479.11 | Facility | None | $1,445.44 | $1,445.44 | $1,479.11 |
BCBS South Carolina Setting Professional Modifier None Typical Low $239.88 Median $331.13 Typical High $489.78 | Professional | None | $239.88 | $331.13 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $616.60 Typical High $1,479.11 | Facility | None | $457.09 | $616.60 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $154.88 Typical High $295.12 | Professional | None | $123.03 | $154.88 | $295.12 |
Medcost Setting Facility Modifier None Typical Low $190.55 Median $223.87 Typical High $691.83 | Facility | None | $190.55 | $223.87 | $691.83 |
Medcost Setting Professional Modifier None Typical Low $288.40 Median $331.13 Typical High $338.84 | Professional | None | $288.40 | $331.13 | $338.84 |
United Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $288.40 | Facility | None | $218.78 | $218.78 | $288.40 |
United Setting Professional Modifier None Typical Low $102.33 Median $165.96 Typical High $288.40 | Professional | None | $102.33 | $165.96 | $288.40 |
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 $93.33 Median $93.33 Typical High $97.72 | Professional | 52 · Reduced service | $93.33 | $93.33 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $38.90 | Professional | 53 · Discontinued | $38.02 | $38.02 | $38.90 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $165.96 Median $165.96 Typical High $223.87 | Professional | 51 · Multiple procedures | $165.96 | $165.96 | $223.87 |
Where South Carolina sits
The same service costs 4.3 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· 25th of 51
$240
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.