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 $436.52 Median $436.52 Typical High $891.25 | Facility | None | $436.52 | $436.52 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $537.03 | Professional | None | $436.52 | $436.52 | $537.03 |
BCBS South Carolina Setting Facility Modifier None Typical Low $53.70 Median $158.49 Typical High $2,951.21 | Facility | None | $53.70 | $158.49 | $2,951.21 |
BCBS South Carolina Setting Professional Modifier None Typical Low $346.74 Median $501.19 Typical High $616.60 | Professional | None | $346.74 | $501.19 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,202.26 Typical High $3,467.37 | Facility | None | $1,047.13 | $1,202.26 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $302.00 Typical High $676.08 | Professional | None | $251.19 | $302.00 | $676.08 |
Medcost Setting Facility Modifier None Typical Low $436.52 Median $524.81 Typical High $1,584.89 | Facility | None | $436.52 | $524.81 | $1,584.89 |
Medcost Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $776.25 | Professional | None | $562.34 | $562.34 | $776.25 |
United Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $660.69 | Facility | None | $501.19 | $501.19 | $660.69 |
United Setting Professional Modifier None Typical Low $234.42 Median $331.13 Typical High $562.34 | Professional | None | $234.42 | $331.13 | $562.34 |
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 $218.78 Median $218.78 Typical High $223.87 | Professional | 52 · Reduced service | $218.78 | $218.78 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $87.10 Typical High $89.13 | Professional | 53 · Discontinued | $87.10 | $87.10 | $89.13 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $275.42 Median $275.42 Typical High $446.68 | Professional | 51 · Multiple procedures | $275.42 | $275.42 | $446.68 |
Where South Carolina sits
The same service costs 4.6 times more in Kansas 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
$437
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.