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 $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $363.08 | Professional | None | $354.81 | $354.81 | $363.08 |
BCBS South Carolina Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,511.89 | Facility | None | $2,398.83 | $2,398.83 | $2,511.89 |
BCBS South Carolina Setting Professional Modifier None Typical Low $186.21 Median $331.13 Typical High $446.68 | Professional | None | $186.21 | $331.13 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,148.15 Typical High $2,754.23 | Facility | None | $851.14 | $1,148.15 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $208.93 Typical High $478.63 | Professional | None | $204.17 | $208.93 | $478.63 |
Medcost Setting Facility Modifier None Typical Low $354.81 Median $426.58 Typical High $1,288.25 | Facility | None | $354.81 | $426.58 | $1,288.25 |
Medcost Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $630.96 | Professional | None | $446.68 | $446.68 | $630.96 |
United Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $537.03 | Facility | None | $407.38 | $407.38 | $537.03 |
United Setting Professional Modifier None Typical Low $190.55 Median $269.15 Typical High $446.68 | Professional | None | $190.55 | $269.15 | $446.68 |
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 $177.83 Median $177.83 Typical High $181.97 | Professional | 52 · Reduced service | $177.83 | $177.83 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $72.44 | Professional | 53 · Discontinued | $70.79 | $70.79 | $72.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $223.87 Median $223.87 Typical High $363.08 | Professional | 51 · Multiple procedures | $223.87 | $223.87 | $363.08 |
Where South Carolina sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 41st of 51
$355
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.